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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
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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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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 ...- 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
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Managing Health Insurance Company Risks in a Recession
ushered in by the Patient Protection and Affordable Care Act (ACA) of 2010 further expanded dramatically ... financial pressure from greater levels of uncompensated care (due to increased uninsured patients), sought higher ...- Authors: Keith Passwater, David Nelson
- Date: Oct 2019
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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The Actuarial Role in Self-Insurance
The Actuarial Role in Self-Insurance Description of and reasons for Health Section strategic ... this question of classification by noting one primary characteristic to assist in recognizing a self-insured ...- Authors: John Mange, Hobson Carroll
- Date: Oct 2017
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development; Health & Disability>Health risks
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Comparison of Risk Adjusters
Comparison of Risk Adjusters Analysis of diagnosis and pharmacy-based methods of health ... medical diagnosis codes to adjust payments to managed care plans for Medicaid enrollees. Employers are using ...- Authors: Robert Cumming
- Date: Oct 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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Chairperson Corner
Chairperson Corner Description of the upcoming activities for the Health Section. 2/24/2020 12:00:00 ... does my marriage have to do with the Affordable Care Act (ACA) you ask? It is a strange connection; ...- Authors: Jacqueline Lee
- Date: Feb 2020
- Competency: Communication; Relationship Management
- Publication Name: Health Watch
- Topics: Actuarial Profession; Health & Disability
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Letter from the EditorGreetings to All Health Actuaries!
Letter from the EditorGreetings to All Health Actuaries! Letter from the Editor Greetings to ... the basics, particularly as they apply to health- care and health insurance business. Bill Lane continues ...- Authors: Jeffrey Miller
- Date: Apr 2001
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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Statistical Tools for Actuaries?First in New Series of Guides Available
Statistical Tools for Actuaries?First in New Series of Guides Available Recognizing an opportunity ... perspective. The guide includes an overview of health care liabilities and the completion factor method, as ...- Authors: Steven Siegel
- Date: Jan 2008
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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New Horizons: An Interview with Rajiv Nundy
New Horizons: An Interview with Rajiv Nundy This article profiles Rajiv Nundy's career. ... to contain health care costs and have been successful, with World Bank’s health care costs raising an ...- Authors: Margaret Hermann
- Date: Jan 2008
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers