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Medicare Advantage Star Ratings: Expectations for New Organizations
traditional FFS Medicare Part A (hospital and long- term care services) and Part B (outpa- tient and professional ... Prescription Drug Plans (PDPs), Program of All- Inclusive Care for the Elderly (PACE) plans, Cost plans, Medicare- ...- 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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Understanding ORSA: Risk, Solvency and Beyond
individual insurers writing at least $500 million in direct written and nonaffiliate assumed premium are subject ... insurance groups writing at least $1 billion in direct written and nonaffiliate assumed premium are also ...- Authors: Elisabetta Russo, Lee H Resnick, Jacky Kwan
- Date: Jan 2014
- Competency: 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: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk categories; Enterprise Risk Management>Risk measurement - ERM; Finance & Investments>Risk measurement - Finance & Investments
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ERM Opportunities for Health Practitioners
will drive the level of commitment to ERM. The primary findings of this research project are 1. Health ... with specific expertise tied to the company’s primary risks. Actuaries have a broad set of skills that ...- Authors: Max Rudolph
- Date: May 2010
- Competency: Communication; External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Best practices; Enterprise Risk Management; Enterprise Risk Management>Compliance
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Reserving Challenges for Consumer-Directed Health Products
| OCTOBER 2004 | HEALTH SECTION NEWS New health care products always come withnew challenges for the ... CDHP product compared to more conven- tional health care coverage. In addition, aggregate reserve levels ...- 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
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The Actuarial Role in Self-Insurance
The Actuarial Role in Self-Insurance Description of and reasons for Health Section strategic ... this question of classification by noting one primary characteristic to assist in recognizing a self-insured ...- Authors: John Mange, Hobson Carroll
- Date: Oct 2017
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development; Health & Disability>Health risks