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Recommendations for a Successful ACA Rate Filing
Recommendations for a Successful ACA Rate Filing Summary of common mistakes made by actuaries ... Peer Review process. Health insurance;Affordable Care Act;Rate regulation 6442471998 11/1/2016 12:00:00 ...- Authors: Joseph Slater
- Date: Nov 2016
- Competency: Communication>Difficult message delivery; Communication>Oral communication; Communication>Persuasive communication; Communication>Written communication; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Health & Disability>Health insurance; Public Policy
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APCs - They’ll Change OutpatientHospital Contracting
APCs - They’ll Change OutpatientHospital Contracting Discussion of Medicare's Ambulatory Payment ... calculations. Issue No. 37. Payment reforms=Health care payment reforms; 9347 4/1/2000 12:00:00 AM ...- Authors: Patrick J Dunks, Nickolas Ortner
- Date: Apr 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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Design and Pricing of Tiered Network Health Plans
Design and Pricing of Tiered Network Health Plans This article discusses the advantages, logistical ... quality and cost-effectiveness standards. Accountable care organizations= ACO;Assumptions;Behavioral econo ...- Authors: Peter Horman
- Date: May 2009
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Modeling & Statistical Methods
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Research Paper Review: “Measuring Consumer Valuation of Limited Provider Networks”
Research Paper Review: “Measuring Consumer Valuation of Limited Provider Networks” The Behavioral ... and narrow networks. Behavioral economics;Managed care;Health insurance 6442468668 5/1/2016 12:00:00 ...- Authors: Brian Plaskow, John Kinney, Sarah Hoover
- Date: May 2016
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics; Health & Disability>Health insurance
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ASOP No. 6 Exposure Draft Provisions Relating to Community-Rated HMO Contracts
ASOP No. 6 Exposure Draft Provisions Relating to Community-Rated HMO Contracts ASOP ... Discusses determination of initial per capita health care rates, effect on valuation results, accounting standards ...- Authors: Application Administrator
- Date: Jan 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice
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The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help?
The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help? This article ... Section News, March 2005, Issue No. 49. Health care quality;Health economics;Prescription drug costs; ...- Authors: Jonathan L Shreve, Jill Van Den Bos, John Watkins, Kristin Reed
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Current Issues In Stop Loss Market
presented two surveys of loss ratios from a sample of direct insur- ance writers. In his study from 1999, loss ... employers willing to make such a change with little direct benefit to them? The panel had a lively discussion ...- Authors: Daniel Wolak
- Date: Sep 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Reinsurance>Stop-loss insurance
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Calculation of IBNR Reserves with Low Variance
common methods used by actuaries practicing in health care finance shows that these methods yield, for the ... themselves to be suffi- ciently sick, seek out medical care by going to their doctor, or in some cases, the ...- Authors: Robert Lynch
- Date: Aug 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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Understanding ORSA: Risk, Solvency and Beyond
individual insurers writing at least $500 million in direct written and nonaffiliate assumed premium are subject ... insurance groups writing at least $1 billion in direct written and nonaffiliate assumed premium are also ...- Authors: Elisabetta Russo, Lee H Resnick, Jacky Kwan
- Date: Jan 2014
- Competency: Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk categories; Enterprise Risk Management>Risk measurement - ERM; Finance & Investments>Risk measurement - Finance & Investments
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Moneyball and the Actuarial Profession
SECTION NEWS AN ACTUARIAL RESPONSE TO THE HEALTH CARE CRISIS | FROM PAGE 9 Moneyball and the Actuarial ... and long-time baseball and can work for health care. Thus, just as it does for food and shelter, the ...- Authors: Kurt Wrobel
- Date: Apr 2004
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Experience Studies & Data