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  • Family Values and the ACA
    tools’ source data? - If so, was the continuance table based on HHS average members, or instead did the ... multiplier, did the actu- ary build a family continuance table based upon HHS’ actuarial value tools’ source data ...

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    • Authors: Kristi Bohn
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Using the Minimum Value Calculator
    the utilization assumptions in the contin- uance table, contributions levels impact the increas- es or ... affordability and benefits were taken off the table for the most part, and that the guidance focuses ...

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    • Authors: Juan Herrera
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Genomic Testing: Cost-Saving or Cost-Inflating for Payers?
    these gene- profiling tests. The two scenarios in Table 1 assume that all patients in the high clinical ... or cost- inflating. The hypothetical example in Table  2 illustrates how selecting 100 patients at random ...

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    • Authors: Didier Serre
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Assess decision effectiveness
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Rethinking Family Tiers
    Rethinking Family Tiers A closer look at family tier factor rating assumptions, and how well ... average adult costs would suggest. The follow- ing table shows the claims ratios we experienced, where we ...

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    • Authors: Kristi Bohn
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Modeling & Statistical Methods>Data mining; Technology & Applications>Analytics and informatics
  • The Role of the Actuary in Self-Insurance Released
    The Role of the Actuary in Self-Insurance Released Announcement that the report of ... insurance environ- ment keeps changing. For example, the U.S. Department of Labor (DOL) released a proposed rule3 ...

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    • Authors: John Mange, Hobson Carroll
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • Results From the 2017 Predictive Analytics in Health Care Trend Forecast
    Results From the 2017 Predictive Analytics in Health Care Trend Forecast Results of a survey of ... benefits that predictive analytics brings to the table outweigh the potential downsides. Contemporary ...

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    • Authors: Ian G Duncan
    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Health Watch
    • Topics: Predictive Analytics
  • Reaching Out for New Opportunities—New Market Research About Actuaries in the Health Care Industry
    Reaching Out for New Opportunities—New Market Research About Actuaries in the Health Care ... research showed that actuaries can bring a lot to the table at organizations that don’t traditionally hire ...

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    • Authors: Sara Teppema
    • Date: May 2010
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Professional network leverage; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Qualifications
  • Developing Group Health Credibility Factors through Stochastic Modeling
    Developing Group Health Credibility Factors through Stochastic Modeling Discussion that developing ... consulting firm. With a member claim distribution table based on actual group health claims experience ...

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    • Authors: John N Albert
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Stochastic models
  • Letter to the Editor
    Letter to the Editor Budget concerns should not be allowed to override sound actuarial rate development ... America. ISSUE 64 SEpTEmBEr 2010 Health Watch A s states try to balance their budgets, we are seeing ...

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    • Authors: Sabrina Gibson
    • Date: Sep 2010
    • Competency: Communication>Difficult message delivery; External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Ethical standards; Professional Values>Public interest representation
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Code of Conduct; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
  • Getting Actuaries More Engaged in Population Health
    Getting Actuaries More Engaged in Population Health Introduction to population health, a collaborative ... actuaries the opportunity to have a “seat at the table” when the programs are designed, and give actuaries ...

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    • Authors: Robert D Lieberthal
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Alternative careers; Economics>Health economics; Health & Disability>Health care quality; Public Policy; Technology & Applications>Analytics and informatics