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  • Defining Best-In-Market Health Opportunities
    Marketing Moderator: DALE H. YAMAMOTO Panelists: MINDY S. KAIREYt Recorder: DALE H. YAMAMOTO Summary: Health ... it all in the past, so, bear with us. Ms. Mindy S. Kairey: We're going to spend a little bit more than ...

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    • Authors: Dale Yamamoto, Mindy S Kairey
    • 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>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
  • Adverse Selection in a Multiple-Choice Environment
    price ratio at unity (by definition), and solved for u(2), the expected use rate of the insureds remaining ... because of our own biases and conservatism. MR. ANDREW S. GALENDA: I would appreciate anyone's comments on ...

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    • Authors: Application Administrator, Ernest J Lampron, William Miner, Richard Ostuw
    • Date: Apr 1987
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Taxes and Fees Introduced by the ACA
    classes of insur- ers. As shown in the illustrative table in Figure 1, the amount by which the insurer would ... cases. The industry made an effort to lobby the U.S. De- partment of Health and Hu- man Services (HHS) ...

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    • Authors: Michael Gaal
    • 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
  • Trends in Large Claims
    actually saw almost a doubling of claims from 1998 to 2000. We literally had 88 claimants over the $250,000 ... very low. We have 11 claimants in 1997, and 20 in 2000–2001. So while the percentages ramped up, you're ...

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    • Authors: Thomas Doran, Patrick L Collins, Timothy Robinson, Russel Hugh
    • 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 insurance
  • Proposals for Health-Care Reform
    five people who are smart enough to sit around a table in Washington and say, "In 1993, this country is ... These widely divergent situations are common in the U.S. today - and they point to some serious problems ...

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    • Authors: Gregory N Herrle, Greg Scandlen, Liz Conway
    • Date: Oct 1992
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health insurance; Public Policy; Public Policy
  • Considerations for Surplus Determination under ACA
    There are five separate actionable outcomes (see Table 1). For a health care insurer that is between 200 ... He can be reached at richard.tash@optum. com Table 1: Risk-Based Capital authoritative action Outcomes ...

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    • Authors: Daniel Pribe, Richard Tash, David M Tuomala
    • Date: May 2014
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
  • Issues Related To Health Insurance Reserves
    that went into the determination of any particular table of claim costs. We need to keep in mind that we ... minimum standards with respect to interest and mortality (page 23 of the May 27, 1986 report). MR. ROBERT ...

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    • Authors: E Paul Barnhart, Russell R Conn, W H Odell, Donald M Peterson, Robert Shapland
    • Date: Jun 1986
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Group Life And Health Insurance
    second product we sell is single premium deferred annuity. The third product is individual retirement annuities ... published in 1978 by the Marketing Department to U.S. News and World Report revealed that 86% of the employees ...

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    • Authors: Paul R Fleischacker, Anthony Proulx, Barry L Shemin, Jerome Winkelstein
    • Date: Apr 1983
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Health Care Inflation
    conducted by the Office of the Inspector General of the U.S. Department of Health and Human Services. This report ... to be high utilizers of those services. MR. DAVID S. HELWIG: I have a question for Mr. Kovener regarding ...

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    • Authors: John D Bohon, Charles DeWeese, Alice Rosenblatt, Janet Carstens, Ronald R Kovener
    • Date: Apr 1988
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Health Insurance
    Health Insurance Article Health Insurance in The Actuary, June 1979, Volume 13, Number 6 Health economics;Health ... 6 Page Six THE ACTUARY q June, 1979 THE U.S. GOVERPdMEMT COST DISCLOSURE REPORT by E. 1. Aloorhead ...

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    • Authors: Application Administrator
    • Date: Jun 1979
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
    • Publication Name: The Actuary Magazine
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance