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Medicare Advantage Star Ratings: Expectations for New Organizations
Ratings: Expectations for New Organizations By Kelly S. Backes, Julia M. Friedman, Dustin J. Grzeskowiak ... Advantage Bid Rebate Federal Part C Revenue Table 1 2019 Quality Bonus Payment and Rebate Percentages ...- 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
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Health Watch, June 2017, Issue 83
Health Section Events By Karen Shelton I S S U E 8 3 • J U N E 2 0 1 7 Health Watch 2 | JUNE ... States in 2010 2. $56 billion on sepsis care in U.S. hospitals every day in 2011 3. 30 percent projected ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- 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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Health Valuation Actuary Toolbox
list of obligations and their size is shown in Table 1. Given the magnitude of our nonreserve obligations ... were not always identical to the balance sheet. TABLE 1 What Obligations How Big (millions) Aggregatereservefor ...- Authors: Edgar Goral, Application Administrator, Julia T Philips, James N Roberts, Jerome Winkelstein
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Best practices; Finance & Investments>Investment policy; Finance & Investments>Investment strategy - Finance & Investments; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Disability insurance; Health & Disability>Health insurance
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Pricing Issues Related to Supplemental Health Products
_________________________________ *Copyright © 2000, Society of Actuaries Note: The charts for this ... it’s only affecting 10% more of the physicians. Table 1 was done for 1995. It’s a little dated, but it ...- Authors: Floyd Martin, Dennis Hare, Darrell D Spell
- 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>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Accident insurance; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Reinsurance>Product development - Reinsurance
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Frequently Asked Questions about the Cost of the Future Newly Insured under the Affordable Care Act (ACA) SOA Study--And Other Things you Migh Not Know by Just Reading the Executive Summary
(HBSM) which is a micro-simulation model of the U.S. health care system that has been used for over ... assumptions, which are included in the detailed Excel table outputs included with the report. Because many of ...- Authors: David Toumala
- Date: Oct 2013
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Health & Disability>Health insurance; Public Policy
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Sickness and Accident
sale of addi- tional life insurance policies and annuity contracts is also needed to pro- vide funds to ... against the expense of accident and sickness. MR. H. S. BEERS recalled that in the early days of accident ...- Authors: Society of Actuaries, James F Coleman, John C Maynard, George N Watson, Manuel Gelles, Ralph H. Maglathlin, Herbert J. Stark, Henry S Beers
- Date: Oct 1953
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Government-funded healthcare
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Behavioral Economics: The Art and Science of Making Choices
feel like you're way on the other side of the table? I think that's another way to try to look at things ... group of subjects was shown the information in a mortality frame. Now this is normatively equivalent information ...- Authors: John Stark, Ellen Peters
- Date: Jun 2005
- Competency: Communication>Written communication; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Risk Theory Applications To Experience Rating Group Health Insurance
Group Health Instructor: CHARLES S. FUHRER Recorder: CHARLES S. FUHRER Summary: The practicing actuary ... stop-loss insurance will be covered. Mr. Charles S. Fuhrer: If you attended Session 9 you will have ...- Authors: Charles S Fuhrer
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession; Health & Disability>Health insurance; Modeling & Statistical Methods>Estimation methods
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Considerations for Surplus Determination under ACA
There are five separate actionable outcomes (see Table 1). For a health care insurer that is between 200 ... He can be reached at richard.tash@optum. com Table 1: Risk-Based Capital authoritative action Outcomes ...- Authors: Daniel Pribe, Richard Tash, David M Tuomala
- Date: May 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Reserving Challenges for Consumer-Directed Health Products
involved, followed by a corridor of the consumer ’s responsibility for payment until the deductible is ... sign up today at: w w w. s o a . o r g / c c m / c m s - s e r v i c e / s t r e a m / asset/?asset_id=5179052&g11n ...- Authors: Stephen J Kaczmarek
- Date: Oct 2004
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance