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Health Section - National Issues
the high-cost area would say, "We won't be paying $2000, we'll be paying $4000. _ They were much more sensitive ... going to have people from the press. They have a table for them and whatever is presented, major discussions ...- Authors: Application Administrator, Dennis Hulet, Roland E King, Gordon R Trapnell
- Date: Oct 1989
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Academic partnerships; Health & Disability>Health care
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Family Values and the ACA
tools’ source data? - If so, was the continuance table based on HHS average members, or instead did the ... multiplier, did the actu- ary build a family continuance table based upon HHS’ actuarial value tools’ source data ...- Authors: Kristi Bohn
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Using the Minimum Value Calculator
the utilization assumptions in the contin- uance table, contributions levels impact the increas- es or ... affordability and benefits were taken off the table for the most part, and that the guidance focuses ...- Authors: Juan Herrera
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Genomic Testing: Cost-Saving or Cost-Inflating for Payers?
these gene- profiling tests. The two scenarios in Table 1 assume that all patients in the high clinical ... or cost- inflating. The hypothetical example in Table 2 illustrates how selecting 100 patients at random ...- Authors: Didier Serre
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Assess decision effectiveness
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Medicaid and the ACA
Medicaid and the ACA Medicaid and the ACA Patient Protection and Affordable Care Act= PPACA=Affordable ... to interface between the On June 28, 2012, the U.S. Supreme Court issued a deci- sion that while the ...- Authors: Rebecca Owen
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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A Regulatory Perspective on Rate Review Before and After the Affordable Care Act
released separate guid- ance indicating that the U.S. Department of Health and Hu- man Services (HHS) ... eration of Independent Business v. Sebelius, the U.S. Supreme Court upheld two of the main provisions ...- Authors: Annette James
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Management Principles Of Group Medical Expense Insurance
Management Principles Of Group Medical Expense Insurance Discusses management principles ... inflation has been solved at least temporarily! Mr. H&e&s letter (pp. 4, 5 Novem- ber issue) cited an employee ...- Authors: Clayton A Cardinal
- Date: Dec 1973
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health care
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Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
wanted this thing to go, get everybody around the table to agree on that, and then get everybody to play ... a small employer, they don't bring much to the table. When it comes to the network, the plan design ...- Authors: Donna Kalin, Deborah Loveland, William E Mabe
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance
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Provider Perspectives On The Current Health Care Marketplace
Provider Perspectives On The Current Health Care Marketplace This session discussion is about ... acceptable? Do you both bring important things to the table together? They ask you to assess something that ...- Authors: David Terry, James A Kenworthy, Jerry Meier, Harvey B Nassau, Richard Standridge, David B Mandel
- Date: Apr 1987
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care