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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, ...

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    • 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
  • 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 ...

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    • Authors: Rowen Bell
    • Date: Apr 2001
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Health Watch
    • Topics: Public Policy
  • 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 ...

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    • 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
  • 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 ...

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    • Authors: Ian G Duncan
    • Date: Dec 2015
    • Publication Name: Health Watch
  • 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 ...

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    • 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
  • Chairperson’s Corner
    Chairperson’s Corner The Health Section chair recaps some of the section’s activities and future ... to conduct an as- sessment of the greater health care employer market so that we can better understand ...

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    • Authors: Jennifer Gillespie
    • Date: Jan 2009
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
    The results are focused primarily on coordinated care plans (local HMOs, local PPOs and regional PPOs) ... Gender CHART 1 HCC Survey Results Coordinated Care Plan members (1) Includes All 70 HCCs (2) CHART ...

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    • Authors: Corey Berger, Eric P Goetsch
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
  • Evaluating Approaches for Adoption of Medical Technologies
    Evaluating Approaches for Adoption of Medical Technologies This article gives an overview of ... costs and benefits ($$). The move within managed care to reimbursement based on value brings an enormous ...

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    • Authors: Andrea Christopherson, Jed Linfield
    • Date: May 2014
    • Publication Name: Health Watch
  • Letter from the Editor
    Letter from the Editor Letter from the editor of Health Watch 6442461249 5/1/2015 12:00:00 AM ... retrospective since the passage of the Affordable Care Act and how our world has changed. Please look ...

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    • Date: May 2015
    • Publication Name: Health Watch
  • Chairperson's Corner
    Jeffrey D. Miller ....................... 12 Health Care Cost Trends 2002— An Insurer’s/Reinsurer’s View ... possibility of addi- tional drug and mental health care utilization. In addition, the healthcare system ...

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    • Authors: Daniel Wolak
    • Date: Jan 2002
    • Publication Name: Health Watch