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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 from before the ACA through President Trump's first term. Individual ...

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    • 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
  • PPACA Heats Up Actuaries in Orlando: A Tour of the SOA ’10 Health Meeting
    PPACA Heats Up Actuaries in Orlando: A Tour of the SOA ’10 Health Meeting A report on the proceedings of the June 2010 SOA health meeting. Leading topics included health care reform, ...

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    • Authors: Douglas Norris
    • Date: Sep 2010
    • Competency: Communication; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Professional associations; Economics>Health economics; Public Policy
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Medicare Advantage Star Ratings: Expectations for New Organizations This article makes organizations entering the MA market aware of the star rating climate, as well as short- and long-term star ...

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    • Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • A Simple Proposal to Save the Individual ACA Market
    A Simple Proposal to Save the Individual ACA Market We propose using premiums and tax revenue to fund high-cost individuals in the Individual ACA market. Patient Protection and Affordable Care ...

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    • Authors: Joseph Slater, John Culkin
    • Date: Feb 2018
    • Competency: Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Public Policy
  • Enterprise Risk Management:One size does not fit all
    Enterprise Risk Management:One size does not fit all ERM and Investment strategies for healthcare companies Asset Liability Management;Financial Management;Enterprise Risk Management= ERM; ...

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    • Authors: Mark W Whitford
    • Date: Jan 2013
    • Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Health Watch
    • Topics: Annuities>Investment strategy - Annuities; Enterprise Risk Management>Portfolio management - ERM; Finance & Investments>Asset allocation; Finance & Investments>Asset liability management; Finance & Investments>Investments
  • Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea?
    Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea? An overview of the issues behind reimbursing providers on a bundled or packaged basis. The article presents the ...

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    • Authors: Todd Lueders
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Public Policy
  • Letter from the Editor
    Letter from the Editor It is a summary of the articles in the March issue of Health Watch. Health Insurance 6442475090 3/1/2017 12:00:00 AM ...

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    • Authors: Marilyn Medved McGaffin
    • Date: Mar 2017
    • Competency: Communication>Written communication; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • Estimating the Impact of Disease and Treatment on Life Expectancy
    Estimating the Impact of Disease and Treatment on Life Expectancy Analysis of the impact of disease progression and treatment on life expectancy provides perspective on the long term costs to the ...

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    • Authors: Tzu-Chun Kuo, Philipp Vetter
    • Date: Jan 2011
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Demography>Longevity; Health & Disability>Health care quality; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining
  • Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
    Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model As providers are considering accountable and value based care models, it is critical to ...

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    • Authors: Mark Bethke, James M Whisler, Amanda Holland
    • Date: May 2013
    • Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy
  • Palliative Care
    Palliative Care This article from major US payers describes palliative care as a scaleable means of improving quality and reducing costs during serious and complex illness. Payment models=Health ...

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    • Authors: Randall Krakauer, Bruce Smith, Diane Meier, Torrie Fields
    • Date: Nov 2016
    • Competency: Leadership>Change management; Leadership>Influence; Leadership>Mentoring; Leadership>Professional network leverage; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Enterprise Risk Management>Systematic risk; Experience Studies & Data>Morbidity; Experience Studies & Data>Mortality; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models