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  • 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
  • 2016 SOA Health Meeting: Event in Review
    the model for the projection of long- term health care cost trends 2016 SOA Health Meeting: Event in ... actuaries including, but not limited to: • Affordable Care Act (ACA) and exchange business • Predictive analytics ...

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    • Authors: Brian Pauley
    • Date: Nov 2016
    • Competency: Leadership>Professional network leverage
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • 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 ...

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    • Authors: Syed Mehmud
    • Date: Jan 2013
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
  • Navigating New Horizons: An Interview with Cori Uccello
    policy makers as they are putting together health care related proposals. Working with the many health-related ... the candidates and the media alike.” With health care issues near the top of most of the presidential ...

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    • Authors: Stephanie Lawrence
    • Date: May 2008
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Health & Disability
  • The Actuary and Health Insurance Mergers and Acquisitions
    medicare supplement, disability, and long-term care business. This activity is likely to continue in ... companies such as a marketing company or managed care company may be part of the sale. The situation will ...

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    • Authors: James O'Connor
    • Date: Apr 2001
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • The Price of Terrorism
    The Price of Terrorism Terrorism risk and catastrophe reinsurance. From Health Section News, ... catastrophe reinsurance recoveries, for group life direct writers. If we assume that terrorism claims will ...

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    • Authors: Daniel Wolak
    • Date: Aug 2003
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Reinsurance>Catastrophe reinsurance
  • Ideas to Consider for the Individual Health Market in 2016
    anticipate how the newly insureds will access the health care system differently over time, compared to what was ... awareness of how to optimally access the health care system. • The impact of transitional policies ...

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    • Authors: Jeff D Rohlinger
    • Date: Oct 2014
    • Publication Name: Health Watch
  • Reserving Challenges for Consumer-Directed Health Products
    | OCTOBER 2004 | HEALTH SECTION NEWS New health care products always come withnew challenges for the ... CDHP product compared to more conven- tional health care coverage. In addition, aggregate reserve levels ...

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    • Authors: Stephen J Kaczmarek
    • Date: Oct 2004
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance