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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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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
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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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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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2020 SOA Health Meeting goes virtual
payment, supplemental health, innovation in health care, pharmacy, Medicare, Medicaid, predictive analytics ... intelligence (AI), the Patient Protection and Affordable Care Act (ACA), disability income and group life, and ...- Authors: Deana Bell, Rick S Pawelski
- Date: Aug 2020
- Competency: External Forces & Industry Knowledge; Professional Values
- Publication Name: Health Watch
- Topics: Actuarial Profession; Actuarial Profession>Professional development
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Is That Your Final Answer? Face the Challenge of the Future
mation. Traditional medical carriers and managed care organizations alike are finding it increasingly ... market intelligence basics: premium adequacy, managed care value, and operations management. Don’t Be Afraid ...- Authors: Lindsay Resnick
- Date: Apr 2000
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Articles of interest to Health Actuaries in the North American Actuarial Journal
Articles of interest to Health Actuaries in the North American Actuarial Journal Abstracts ... Volume 19, No. 2 did not have any articles of direct interest to health actuaries, although those actuaries ...- Authors: Ian G Duncan
- Date: Dec 2015
- Publication Name: Health Watch
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Letter from the Editor
Letter from the Editor The editor previews the articles in this issue. N/A; 25722 1/1/2011 ... busy late- ly, supporting a wide variety of health- care-reform-related issues. This issue’s “Chairperson’s ...- Authors: Mary Kindel Van der Heijde
- Date: Jan 2011
- Competency: Leadership; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations
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Uncertainty in Risk Adjustment
the projected per member per month (PMPM) health care expense for both plans is $450. The two plans attract ... Medicaid managed care and commercial health insurance plans. With national health care reform, especially ...- Authors: Syed Mehmud
- Date: Jan 2013
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch