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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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Paradise Lost: Return on Investment in Disease Management
Reporting and Assessing Program Outcomes. Am J Managed Care. (11) 2. February 2005. pp. 113-120. 4 Fetterolf ... 2004. 5 Duncan, I. PART 2: ACTUARIAL ISSUES IN CARE MANAGEMENT INTERVENTIONS: Paper 4: Understanding ...- Authors: Don Fetterolf
- Date: May 2006
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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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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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
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Chairperson's Corner
share information and engage with fellow health care actuaries on current topics and new articles and ... community and stay up to date on important health care issues and share your experience and knowledge ...- Authors: Karen Shelton
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Actuarial Profession; Actuarial Profession>Professional development
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What We Have Learned in the Last50 Years—and Aren’t Using
risks. However, over the last 50 years, the health care industry has collected mounds of data and produced ... accounts for more than 75 percent of the health care costs. 1 One significantly alarming statistic ...- Authors: Chris E Stehno
- Date: May 2006
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Technology & Applications>Analytics and informatics
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The Role of the Actuary in Self-Insurance Released
contribute to the self- insurance market for health care. Self- insurance is, arguably, the single most ... from early regulations through to the Affordable Care Act (ACA) • The differences between fully and self- ...- Authors: John Mange, Hobson Carroll
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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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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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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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