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Fact First
both a political issue and a source of support for U.S. citizens. Most experts agree that Medicare, the ... mental medical insurance, are rising faster than the U.S. economy is grow- ing, which will require a doubling ...- Authors: Jacqueline Bitowt
- Date: Apr 1997
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
- Publication Name: The Actuary Magazine
- Topics: Public Policy; Public Policy; Public Policy
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Considerations for Surplus Determination under ACA
There are five separate actionable outcomes (see Table 1). For a health care insurer that is between 200 ... He can be reached at richard.tash@optum. com Table 1: Risk-Based Capital authoritative action Outcomes ...- Authors: Daniel Pribe, Richard Tash, David M Tuomala
- Date: May 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Accountable Care Organizations: An Untapped Opportunity
third-party, objective analysis when they are at the table bargain- 8 | september 2010 | Health Watch area ... health care costs if actuaries had been at the table with providers earlier in the process. ACO leadership ...- Authors: Jim Toole, Sara Teppema
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
payment percentages by star rat- ing are shown in the table in Figure 1. The percentage of the savings a plan ... rebate percentages by star rating are shown in the table in Figure 2. Special rules apply to low-enrollment ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Selling Health Insurance Across State Lines
implementation of the ACA. The ACA allows the U.S. Office of Personnel Management (OPM) to oversee ... of America, the District of Colum- bia and the U.S. Territories. 2 From Kaiser Health News: State coverage ...- Authors: Lawrence Mitchell
- Date: Aug 2017
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health insurance; Public Policy
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Long-Term Care Compliance Issues
nonforfeiture, which basically says that we set up a table of rate increase caps which, should an insurance ... question is does the company need to disclose this table of rate? Some of the numbers in there can be startling ...- Authors: Richard W Garner, Andrew M Perkins, Loida Rodis Abraham
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Long-term Care>Long-term care insurance; Public Policy
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Small-Employer Health Insurance Purchasing Alliances
back when Clinton was first proposing these. It s something that has stuck with us. Florida started ... health plans and a large number of benefit options, it s because some of those health plans offer more than ...- Authors: James O'Connor, Harvey Sobel, Jim H Srite, Susan Jackson, Richard Figueroa
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Public Policy
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Principles Of Actuarial Science And The New Health Care Reform Law
Principles Of Actuarial Science And The New Health Care Reform Law Discussion of some of the debated ... that are intertwined in many ways as part of the U.S. health care system. The analysis undertaken in ...- Authors: Mark E Litow
- Date: Jul 2010
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation
- Publication Name: In The Public Interest
- Topics: Public Policy