Announcement: SOA congratulates the new ASAs and CERAs for April 2024.

Announcement: SOA releases March 2024 FAM, FAML, and FAMS Exams passing candidate numbers.

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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 concerns, and pricing formulas of implementing a TNHP, in which members pay less for treatment ...

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    • 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
  • Final Thoughts
    Final Thoughts Wrap-up of publication and thank-yous. Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable ...

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    • Authors: Valerie Nelson
    • 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
  • Actuarial Aspects of Alternative Care
    Actuarial Aspects of Alternative Care Presenter discusses issues related to alternative care, as well as SOA activity in regard to alternative care. From the Record of the Society of Actuaries, ...

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    • Authors: Lee Eric Launer
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality
  • Health Care Reform Around the World
    Health Care Reform Around the World Panelists discuss major reforms of health care financing and delivery systems around the world. From the Record of the Society of Actuaries, Vol. 24, No. 2.

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    • Authors: Chiu-Cheng Chang, Lawrence Miike, Joshua Bank
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Public Policy
  • Medicaid Encounter Data: The Next National Data Set
    Medicaid Encounter Data: The Next National Data Set Summary of Medicaid encounter data, including how it is collected by health plans, transferred to state databases, used by states, and ...

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    • Authors: Jennifer Gerstorff, Sabrina Gibson
    • Date: Sep 2016
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Internal forces and business performance
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability
  • Bonus!
    Bonus! The article explores how deeply the Affordable Care Act reduced the Medicare Advantage benchmark payment rates and quantifies how much of that reduction Medicare Advantage Organizations ...

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    • Authors: Bradley James Piper, Julia Friedman
    • Date: Apr 2016
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health care quality; Health & Disability>Health insurance; Social Insurance>Medicare
  • A Regulatory Perspective on Rate Review Before and After the Affordable Care Act
    A Regulatory Perspective on Rate Review Before and After the Affordable Care Act A Regulatory Perspective on Rate Review Before and After the Affordable Care Act Patient Protection and Affordable ...

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    • Authors: Annette James
    • 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
  • Health Care Reform: Essential Health Benefits and Actuarial Value
    Health Care Reform: Essential Health Benefits and Actuarial Value Essential Health Benefits and Actuarial Value Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care ...

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    • Authors: Catherine Knuth
    • 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
  • Medicare Advantage: Five Years after the ACA
    Medicare Advantage: Five Years after the ACA Medicare Advantage and ACA Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss ...

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    • Authors: Andrew Mueller, Yingxuan Li
    • 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
  • The Individual Market and ACA Products: Starting from First Actuarial Principals
    The Individual Market and ACA Products: Starting from First Actuarial Principals Individual Market and ACA Products Actuarial rating principals Patient Protection and Affordable Care Act= PPACA= ...

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    • Authors: Kurt Wrobel
    • 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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