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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 ...- Authors: Syed Mehmud
- Date: Jan 2013
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
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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 ...- Authors: Stephanie Lawrence
- Date: May 2008
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability
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Letter from the Editor
Letter from the Editor The editor previews the articles in this issue. N/A; 25722 1/1/2011 ... busy late- ly, supporting a wide variety of health- care-reform-related issues. This issue’s “Chairperson’s ...- Authors: Mary Kindel Van der Heijde
- Date: Jan 2011
- Competency: Leadership; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations
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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 ...- Authors: Brian Pauley
- Date: Nov 2016
- Competency: Leadership>Professional network leverage
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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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 ...- Authors: Daniel Wolak
- Date: Jan 2002
- Publication Name: Health Watch
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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 ...- 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
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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 ...- Authors: Daniel Wolak
- Date: Aug 2003
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Reinsurance>Catastrophe reinsurance
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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 ...- Authors: Jeff D Rohlinger
- Date: Oct 2014
- Publication Name: Health Watch
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The ACA Underwriting Cycle
(either positive or negative) changes in health care costs. Accordingly, required pricing adjustments ... material losses. EARLY ACA PATTERNS The Affordable Care Act (ACA) reset the individual market in 2014 with ...- Authors: Gregory Fann
- Date: Oct 2020
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability
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Applying Diagnosis-Based Predictive Models to Group Underwriting
information to accurately measure expected health care consumption to support efficient alloca- tion of ... 38 million members who were eligible for health care insurance for at least 1 month in both 1997/98 (Year ...- Authors: Randall P Ellis, Marilyn Kramer
- Date: Aug 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability