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Health Alliances
Health Alliances This session discusses health alliances, a central component of the President's proposal. Their structure, operations and effect on the market have numerous actuarial ...- Authors: Jay C Ripps, Donald T Weber, Greg D Kuzma
- Date: Jun 1994
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy
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Risk Adjustment Implementation Issues
Risk Adjustment Implementation Issues Risk adjusters were first used for the Y2K reimbursements to Medicare+Choice laws. How did plans fare? What was the financial impact to the Medicare program? ...- Authors: John Bertko, Craig Schmid, Mel Ingber
- Date: May 2000
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy; Social Insurance>Medicare
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Part of the HMO Story
Part of the HMO Story Reviews the book, HMOs and the Politics of Health System Reform, by Joseph Falkson which discusses HMOs' legislative and regulatory structuring. Health maintenance ...- Authors: John K Kittredge
- Date: May 1980
- Competency: External Forces & Industry Knowledge>General business skills
- Publication Name: The Actuary Magazine
- Topics: Public Policy
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SOA Research—Making an Impact
SOA Research—Making an Impact Developing a formal strategy to guide the SOA’s activities with respect to public policy-related topics is underway. Recent experience shows that non-partisan ...- Authors: Gregory Heidrich
- Date: Jun 2013
- Competency: Professional Values>Public interest representation
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Professional associations; Public Policy; Public Policy
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Medicare Advantage—Future Benchmarks
Medicare Advantage—Future Benchmarks This article discusses future benchmarks of Medicare and Medicare's rising costs and its relativity to the actuarial profession. Managed care;Payment ...- Authors: Application Administrator
- Date: May 2008
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicare
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Soundbites from the American Academy of Actuaries’ Health Practice Council
Soundbites from the American Academy of Actuaries’ Health Practice Council Updates on the efforts of the Academy’s health practice council. its work groups and task forces, to educate health care ...- Authors: Heather E Jerbi, Melissa Stevens
- Date: Sep 2009
- Competency: Communication>Written communication; Leadership>Influence; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability>Health risks; Public Policy; Public Policy; Social Insurance>Medicare
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Commercial Health Care: What’s Next?
Commercial Health Care: What’s Next? This article contains a condensed summary and excerpt from the fourth white paper in the Commercial Health Care: What’s Next? series. health care reform;risk ...- Authors: David Dillon
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
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Early Findings from the ACA's Medicaid Expansion
Early Findings from the ACA's Medicaid Expansion Analysis of data from three Medicaid managed care plans examines enrollment and cost trends for newly eligible enrollees under the ...- Authors: Richard Marko, Sabrina Gibson, Joshua Kuai, Mitchell Cole
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicaid
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On Health Care Reform
On Health Care Reform Feature article from the January 2010 issue of In The Public Interest discussing the reform of the U.S. health care system. Health care reform;Health policy; 9577 1/1/2010 ...- Authors: Frederick Kilbourne, Mark E Litow
- Date: Jan 2010
- Competency: Professional Values>Public interest representation
- Publication Name: In The Public Interest
- Topics: Public Policy
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Health Care Reform and the Actuarial Profession
Health Care Reform and the Actuarial Profession Article describes several options for limiting increases in health care costs and urges actuarial profession to be more proactive in asdvocating ...- Authors: Dwight K Bartlett
- Date: Jun 2013
- Competency: Professional Values>Public interest representation
- Publication Name: In The Public Interest
- Topics: Public Policy