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Chairperson's Corner
continued dialog on health care reform issues, emerging topics such as accountable care organizations, and reviews ... (but definitely won’t be limited to): • Health care reform • Innovation • Consumerism • Trends • ...- Authors: John Kinney
- Date: Jan 2013
- Competency: Leadership>Professional network leverage
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations
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Chairperson's Corner
learn about the clinical matters underlying health care claims. The boot camps were a great success this ... increased educational focus on include: - The Affordable Care Act’s (ACA) impact on commercial pricing and reserving ...- Authors: Donna Kalin
- Date: Jan 2014
- Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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The Art & Science of Pricing Small Group Medical Coverage: Renewal Pricing
chronic condi- tions tend to utilize more health care resources than average on a year-in-year- out basis ... strong predictive value in estimating future health care usage. Also, the employees of a small employer can ...- Authors: William Lane
- Date: Apr 2001
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Enterprise Risk Management:One size does not fit all
Looking forward, the impact of the Affordable Care Act (ACA) on MLRs will need to be consid- ered. ... life, or property and casualty (P&C)). Health care is considered a short- tailed line of business, ...- Authors: Mark W Whitford
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Annuities>Investment strategy - Annuities; Enterprise Risk Management>Portfolio management - ERM; Finance & Investments>Asset allocation; Finance & Investments>Asset liability management; Finance & Investments>Investments
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Letter From the Editor
health ac-tuaries and others working in health care is that the practice of medicine is fragmented ... mind) while others might not (long term health care cost trends based on the discussion in this issue ...- Authors: Ross Winkelman
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices
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Estimating IBNR from Authorized Bed Days
per day of acute, sub-acute and other levels of care. Reviewing our historical inpa- tient costs, incurred ... the estimation method, costs include all inpatient care being esti- mated, and days are from the authorization ...- Authors: Kevin L Pedlow
- Date: Apr 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Chairperson’s Corner
...........3 Benchmarking to Maximize Managed Care Performance By Sue McQuillian ................ ... Steven Siegel .10 Why You Should Join the Long Term Care Insurance Section Now By Jim Glickman ........- Authors: Bernard Rabinowitz
- Date: Aug 2000
- Publication Name: Health Watch
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The Actuary and the Medical Device Industry
medical insurance, managed care, provider networks, long-term care and continuing care retirement communities ... consumer, provider network, insurance carrier, managed care organization, society as a whole), but also provide ...- Authors: ROBERT FREDERICK MCCARTHY
- Date: Oct 2002
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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Actuarial and Underwriting Implications of the Final Health Privacy Rule
present, or future payment for the provision of health care to an individual … and with respect to which there ... Supplement, Medicare+Choice, dental, or long-term care contract would be considered a “health plan,” and ...- Authors: Rowen Bell
- Date: Apr 2001
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Public Policy
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Industry Perspective Consumer Protection -Continuation of Benefits in Event of HMO Insolvency
plan bene- fits for members confined in an acute care hospital on the date of insolvency until discharge ... magazine of NAMCR, the National Association of Managed Care Regulators, in late 1998. NAMCR was originally an ...- Authors: Harry L Sutton
- Date: Dec 2000
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance