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  • Implementing Parity: Investing in Behavioral Health – Part 2
    Implementing Parity: Investing in Behavioral Health – Part 2 Part 1 of a 2-part series ... regulations could impact the business of behavioral health care and the impending decisions for payors, employers ...

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    • Authors: Stephen P Melek
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration>Effective decision-making
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Public Policy
  • Session 102: Medicaid Hot Topics
    Medicaid Actuary for WellCare Health Plans. • Health care for 20+ years. • Medicaid for 13 years - mostly ... Actuarial Standard of Practice on Medicaid Managed Care Rate Setting – ASOP 49. • Active with the Medicaid ...

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    • Authors: Sabrina Gibson, Edward M Mailander, Sudha Shenoy, Rylan Austin, Timothy W Caldwell , Michael E Nordstrom
    • Date: May 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Public Policy; Social Insurance>Medicaid
  • Navigating New Horizons... An Interview with Julia Philips
    Navigating New Horizons... An Interview with Julia Philips A look at the career and accomplishments of Julia ... organizations, and implement health reform. Health care reform; 9570 5/1/2011 12:00:00 AM ...

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    • Authors: Sarah Lawrence
    • Date: May 2011
    • Competency: External Forces & Industry Knowledge; Leadership; Professional Values>Practice expertise; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Alternative careers; Public Policy
  • Community Rating and Guaranteed Issues
    today, even through a high-risk pool, or charity care, or some other mechanism. The fact of the matter ... hot bed of activity in health insurance and health care. I 'm not sure exactly why. The theories range ...

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    • Authors: John M Friesen, Thomas J Stoiber, Robert F Warren, Donna C Novak
    • Date: Jun 1995
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Public Policy
  • The Rewards of Teaching and Mentorship in the Actuarial Profession
    related to health insurance (including the Affordable Care Act), and 3) instructing current actuaries on advanced ... accomplished actuary with 24 years of expertise in health care consulting, I have had many fulfilling moments in ...

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    • Date: Jun 2023
    • Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Expanding Horizons
    • Topics: Actuarial Profession; Actuarial Profession>Mentoring; Actuarial Profession>Professional development; Public Policy; Public Policy
  • A Study on Emerging Health Conditions Among the Elderly in India and the Sufficiency of Medical Framework and Health Insurance
    A Study on Emerging Health Conditions Among the Elderly in India and the Sufficiency ... The problem is compounded by a medical and health care infrastructure which is inadequate to meet the challenge ...

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    • Authors: Venkata Subramanyan Narayanan
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care; Health & Disability>Health risks; Pensions & Retirement>Retirement risks; Public Policy
  • Genetic Testing in Health Insurance
    from being used in disability income or long-term care or life insurance. What are the roots of the ... basic health care—and you'd be surprised at what many people would include in basic health care—as a matter ...

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    • Authors: Richard A Kipp, Thomas F Wildsmith, Stephanie Newhart
    • Date: Jun 2002
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Public Policy
  • SMI Trust Fund: Estimates under Alternative II Assumption for Aged and Disabled Excluding End-Stage Renal Disease Enrollees
    through an independent reporting system. In a health care program with continuously increasing incurred reim- ... them to the time of service. 3) Managed Care Services Managed care plans with contracts to provide health ...

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    • Authors: Society of Actuaries
    • Date: Oct 2000
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Pension Section News
    • Topics: Public Policy; Social Insurance
  • Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2
    (snowbirds, for example); and cover their major health care needs without MA’s utilization reviews and the risk ... as well as likely delays in receiving necessary care.[4] Providers may also appreciate Medigap-covered ...

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    • Date: Mar 2024
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health insurance; Public Policy; Public Policy
  • 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