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  • Implementing Parity: Investing in Behavioral Health—Part 1
    providers, and consumers of behavioral health care. Part 1 of this article will address implementation ... could impact the busi- ness of behavioral health care and the decisions that follow is of even greater ...

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    • Authors: Stephen P Melek
    • Date: May 2010
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Public Policy
  • Health Maintenance Organizations
    are mak- ing. The concept of prepaid medical care in the U.S.A. is not new. Several groups, notably ... organized delivery systems of comprehensive health care services (hospital and outpatient) to a volun- ...

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    • Authors: Michael Peninger, John G Turner
    • Date: Sep 1980
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health care
  • How to Avoid Common Pitfalls of Health Plan Mergers
    mergers, rather than focusing on the pitfalls of the direct number value expectations side. As actuaries, ... We developed the client consultant role as a direct result of these concerns. Performance management ...

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    • Authors: Linda Bronstein, Pennell Hamilton, Alice Rosenblatt, Barbara McNamara
    • Date: May 2000
    • Competency: Communication; External Forces & Industry Knowledge>Internal forces and business performance; Leadership>Change management; Strategic Insight and Integration>Management partnership
    • Publication Name: Record of the Society of Actuaries
    • Topics: Enterprise Risk Management>Operational risks; Finance & Investments; Health & Disability>Health care
  • Fundamentals of Defined-Contribution Health Plans
    Recorder: ROBERT GORDON COSWAY Summary: As health-care costs are on the rise again, employers are looking ... principal and national leader of Mercer's Health Care and Group Benefits Practice. He works with all aspects ...

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    • Authors: Robert Gordon Cosway, Harry L Sutton, George Wagoner
    • Date: May 2001
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health care; Technology & Applications>E-commerce
  • Prescription Drug Update
    major driver of the return to double-digit medical care premium increases and renewed interest in Congress ... New York. Previously, she was vice president of Care Management at St. Vincent's Medical Center and Health ...

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    • Authors: Geoffrey C Sandler, Carol McCall, Lisa Behnke, Jeff Sanders
    • Date: May 2000
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health care
  • Adverse Disruptors in the Healthcare Industry
    transformation. The United States population is aging, health care reform is a constant topic for government officials ... booming since the introduction of the Affordable Care Act(ACA) which draws concern to the negative impacts ...

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    • Authors: Ximeng Li, Arun Sithamparapillai, Zifan Yang, Ken Zi-Yi Liu, Jiajing Zhang
    • Date: Jul 2016
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care
  • Prescription Drug Update
    consulting firm that deals mainly with Medicaid managed care and Medicaid plans across the country. He's going ... was a Prescription Drug Update 2 health care actuary with Trustmark. He began his career as an ...

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    • Authors: Margaret Sparks, Grady Catterall, Mark J Franzen, Jill Van Den Bos
    • Date: Jun 2002
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health care
  • 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- ...

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    • 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
  • SOA 2012 Health Meeting Interview with Chairperson Daniel Bailey
    only. The Health Section Council (HSC) is the primary group contributor and its Disability and Employee ... deal of concern about the impact of the Affordable Care Act (ACA) and the nature and timing of the Supreme ...

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    • Authors: Society of Actuaries
    • Date: Jan 2013
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • COVID-19, Unknown Unknowns, and Public Finance on the Fly
    generally increase with growth in enrollment and health care expenditures. Risk Assessment—Without a formal ... medical care related to eligible beneficiaries and contract with the government to provide care at similar ...

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    • Authors: Gregory Fann
    • Date: May 2020
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health care; Health & Disability>Health risks; Social Insurance; Health & Disability>Affordable Care Act (ACA)