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The ACA’s Medical Loss Ratio Provisions: Looking Back
Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health insurance;Medical ... insurance;Medical Loss Ratio=MLR;Accountable care organizations= ACO;Rate regulation;Medicare;Medicaid;Health policy ...- Authors: Rowen Bell
- 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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Prologue
Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health insurance;Medical ... insurance;Medical Loss Ratio=MLR;Accountable care organizations= ACO;Rate regulation;Medicare;Medicaid;Health policy ...- Authors: Jim Toole
- 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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Chairperson's Corner
Chairperson's Corner Hear from the chairperson on themes in the March 2017 issue of Health ... published by the Health Section. Health care costs;Health care reform;Health insurance;Health policy ...- Authors: Brian Pauley
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability
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Health Practice Advancement Committee, Health Section Council, and AAA Health Practice Council Committee Update
healthcare;Health care costs;Health care quality;Health care reform;Managed care;Medicare;National Association ... Insurance Commissioners=NAIC;Payment reforms=Health care payment reforms;Risk-based capital=RBC; 17601 ...- Authors: Application Administrator, Thomas Corcoran, James Murphy
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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The Changing Demographic Landscape and Aging Population
is a wide range of literature on aging and health care. We sample this literature and find it fits into ... arrangements can cause inefficient and ineffective care and that care guidelines need to developed specifically ...- Authors: Society of Actuaries
- Date: Mar 2003
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Topics: Health & Disability>Health care; Long-term Care>Medical expenses; Public Policy; Social Insurance>Medicare
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Profiling Physician Performance
employ to measure their providers' quality of care, outcomes, compliance with best practice guidelines ... Society of Actuaries, Vol. 25, No. 2. Health care costs;Health care quality;Health economics;Health insurance;Health ...- Authors: Joel C Hoffman, David Josephson, David Terry, John C Vataha, Kelly Myers
- 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: Actuarial Profession>Ethics; Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Regression analysis; Modeling & Statistical Methods>Simulation
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Prioritization of Health Services
Prioritization of Health Services This session is about the details of the inception ... healthcare;Health care costs;Health care reform;Health economics;Health factors;Medicaid;Preventive care;Social ...- Authors: Paul R Fleischacker, Harvey Klevit
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy; Social Insurance>Medicaid
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Health Insurance as a Political Issue
likelihood of major health-care reform, on public expectations about rights to health care, about perceptions ... healthcare;Group health plans;Health care costs;Health care quality;Health care reform;Health economics;Health ...- Authors: Stephen D Brink, Harry L Sutton, Bruce Barlow, Mark S Mellman
- Date: Oct 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Public Policy; Public Policy; Social Insurance>Government-funded healthcare
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Health Insurance and the Valuation Actuary
testing;Disability insurance;Group health plans;Health care reform;Health maintenance organization=HMO ;Health ... valuation tables;Long-term care=LTC;Long-term care insurance=LTCI;Managed care;Medicaid;Medicare;National ...- Authors: Application Administrator, Michael Francescone, Frank E Knorr, Glenn A Giese
- 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>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Health & Disability>Health care; Health & Disability>Health insurance; Long-term Care>Long-term care insurance
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Defining Best-In-Market Health Opportunities
health plans=CDHP;Group health plans;Health care costs;Health care quality;Health economics;Health insurance;Health ... insurance;Health maintenance organization=HMO ;Managed care;Preferred provider organization=PPO;Prescription ...- Authors: Dale Yamamoto, Mindy S Kairey
- Date: Jun 1998
- 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; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance