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The CLASS Act and its Aftermath
Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health insurance;Medical ... insurance;Medical Loss Ratio=MLR;Accountable care organizations= ACO;Rate regulation;Medicare;Medicaid;Health policy ...- Authors: Robert Yee
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Defining Best-In-Market Health Opportunities
health plans=CDHP;Group health plans;Health care costs;Health care quality;Health economics;Health insurance;Health ... insurance;Health maintenance organization=HMO ;Managed care;Preferred provider organization=PPO;Prescription ...- Authors: Dale Yamamoto, Mindy S Kairey
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
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A Neurologist's Deep Dive into Insurtech
A Neurologist's Deep Dive into Insurtech Overview on current trends in medical practice ... and dementia;Chronic illness management;Long-term care insurance=LCTI;Predictive modeling;Health information ...- Authors: Anitha Rao
- Date: Apr 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Long-Term Care News
- Topics: Actuarial Profession>Entrepreneurism; Economics>Health economics; Economics>Macroeconomics; Experience Studies & Data>Long-term care - Experience Studies & Data; Long-term Care>Long-term care insurance; Predictive Analytics; Technology & Applications>Analytics and informatics
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Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements
Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements This article ... ;; Health care reform; Health reinsurance; Budgets; Stop-loss insurance; Accountable care organizations=ACO ...- Authors: Anthony Rubiano
- Date: May 2012
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Health & Disability>Payment models; Public Policy
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Senior Health Products - Medicare Supplements and More
grew up in direct marketing and Medicare supplements are perhaps the quintessential direct marketing product ... problems are inevitable and we know that health care costs for seniors are much higher than the commercial ...- Authors: H Lund
- Date: Apr 1995
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Medicare
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Useful Sources of Healthcare Data, Health Services Research, and Health Policy Information For Actuaries
which affect the access, cost and quality of medical care. This document describes the ever-changing resources ... specifies where they may be obtained. Health care costs;Health care quality;Health information exchanges;Health ...- Authors: Society of Actuaries
- Date: Aug 2005
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Public Policy
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The Evolution of the Individual Market (Part II)
The Evolution of the Individual Market (Part II) Part II of a two-part series discussing individual market evolution ... plans, Government-funded healthcare, Affordable Care Act (ACA) 3/14/2019 12:00:00 AM ...- Authors: Gregory Fann
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
Use of Treatment Protocols to Manage Hospital Utilization at the Insurance ... records=EMR;Health care costs;Health economics;Health maintenance organization=HMO ;Hospitalization;Managed care;Marketing ...- Authors: Donna Kalin, Deborah Loveland, William E Mabe
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance
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DxCG Comments on A Comparative Analysis of Claims-Based Tools for Health Risk Assessment
DxCG Comments on A Comparative Analysis of Claims-Based Tools for Health Risk Assessment ... risks;Modeling efficiency;Payment models=Health care payment models;Regression analysis;Risk assessment;Disease ...- Authors: Society of Actuaries
- Date: May 2007
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Modeling & Statistical Methods>Deterministic models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Modeling efficiency
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Investment Fallacies e-book
will argue that models have ceased to be the primary differentiators when discounting contingent events ... risk. Volatility is thought by many to be the primary risk metric. Easy to calculate and comparable ...- Authors: Max Rudolph, Society of Actuaries
- Date: Sep 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Finance & Investments>Capital management - Finance & Investments; Finance & Investments>Investment policy; Finance & Investments>Investments; Finance & Investments>Investment strategy - Finance & Investments; Finance & Investments>Risk measurement - Finance & Investments; Finance & Investments>Value at risk - Finance & Investments