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Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements
ACO budgeting and pricing of stoploss coverage, including: 1) attribution of members; 2) claim carve outs; ... stoploss terms; 4) providers gaming the system and 5) credibility of data. ;; Health care reform; Health ...- 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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Assessing Prescription Opioid Risk with Predictive Analytics
Barbara Collier and Joseph Boschert According to the Centers for Disease Control and Preven-tion (CDC) ... more than 115 people die each day in the United States as a result of opioid over- dose and that prescription ...- Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; 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: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
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Interest Allocation using a Computer Model
describes a method of interest allocation which relies on a computerized model of invested assets ... assets. Characteristics of this method, known as the investment generation model method, are discussed in relation ...- Authors: Asutosh Chakrabarti, Christopher D Chapman, Anna M Rappaport
- Date: Oct 1973
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Transactions of the SOA
- Topics: Financial Reporting & Accounting
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The Insurance Capital Standard (ICS) Moves Forward
The Insurance Capital Standard (ICS) Moves Forward This article discusses the current state of the IAIS' ...- Authors: R Thomas Herget
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Effective decision-making; 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: Risk Management
- Topics: Enterprise Risk Management; Finance & Investments>Capital management - Finance & Investments
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A Review of Current Long-Term-Care Insurance Studies
A Review of Current Long-Term-Care Insurance Studies Panelists discuss the results of the SOA's ... with long-term-care insurance. From the Record of the Society of Actuaries, Vol. 25, No. 2. Alzheimer's ...- Authors: Gary L Corliss, Mark Newton, Patricia Fay
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Experience Studies & Data>Long-term care - Experience Studies & Data; Long-term Care>Long-term care insurance; Long-term Care>Long-term care facilities & home care
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Use of Managed Care in Long-Term Care Insurance Contracts
Use of Managed Care in Long-Term Care Insurance Contracts Panelists discuss the pros and cons of using ... benefits in long term care plans. From the Record of the Society of Actuaries, Vol. 24, No. 2. Chronic ...- Authors: Donald Charsky, Dawn E Helwig, Peggy Hauser
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Long-term Care>Chronic health management - Long-term Care; Long-term Care>Long-term care insurance; Long-term Care>Medical expenses; Social Insurance>Medicaid
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Measuring Benefits of Variable Annuity Volatility Management Techniques
Measuring Benefits of Variable Annuity Volatility Management Techniques We analyze how volatility management ...- Authors: Raghu Ramachandran, Aaron Sarfatti
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Effective decision-making; 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: Risk Management
- Topics: Annuities>Variable annuities; Enterprise Risk Management
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Summary of Non-Routine Business by Board and Executive Committee, Four Months to Feb 29
Summary of Non-Routine Business by Board and Executive Committee, Four Months to Feb 29 Summary of the non-routine ... meetings of the Executive Committee of the Society of Actuaries on Dec. 13, 1979 and the Board of Governors ...- Authors: Myles Gray
- Date: Apr 1980
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Professional associations; Actuarial Profession>Standards of practice; Experience Studies & Data>Mortality
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How to Turn Suspects Into Prospects
VP of sales that took place after a call. I was a young, excitable sales rep. As I recounted the call ... react when you posed the question what happens to your business if you don’t address the problem? Oops. I ...- Date: May 2017
- Competency: Communication>Active listening; Communication>Difficult message delivery; Communication>Oral communication; Communication>Persuasive communication; Communication>Written communication; 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; External Forces & Industry Knowledge>General business skills; External Forces & Industry Knowledge>Internal forces and business performance; Leadership>Change management; Leadership>Influence; Leadership>Mentoring; Leadership>Professional network leverage; Leadership>Thought leadership; Professional Values>Ethical standards; Professional Values>Practice expertise; Professional Values>Public interest representation; Relationship Management>Relationships and trust; Relationship Management>Staff management and motivation; Relationship Management>Team 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; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Management partnership; 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: Innovators & Entrepreneurs
- Topics: Actuarial Profession>Entrepreneurism; Actuarial Profession>Management skills; Actuarial Profession>Professional development
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Life Insurance Assets And Liabilities And Their Difference
And Liabilities And Their Difference Presented at the March 1975 Spring Meeting. Discusses whether ... much financial security in the future as in the past, including GAAP, impact of changing asset values on ...- Authors: Russell M Collins, John P Eden, Thomas J Kelly, Robin B Leckie, Edward A. Lew, John C Wooddy
- Date: Mar 1975
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Financial Reporting & Accounting