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  • Commercial Health Care: What’s Next?
    Commercial Health Care: What’s Next? This article contains a condensed summary and ... and excerpts from a recent white paper regarding the Individual Mandate. health care reform;health economics;health ...

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    • Authors: David Dillon
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Public Policy; Public Policy
  • What’s New on the RxManagement Horizon?
    New on the RxManagement Horizon? Health Section News, August 2005, Issue 50 which discusses the effective ... management of prescription drug utilization and coverage that continue to represent one of the biggest challenges ...

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    • Authors: JEFF ALLAN SCHULTE
    • Date: Aug 2005
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • APCs - They’ll Change OutpatientHospital Contracting
    Contracting Discussion of Medicare's Ambulatory Payment Classification APC system as the standard for reimbursement ... reimbursement of non-capitated outpatient hospital services with sample calculations. Issue No. 37. Payment ...

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    • Authors: Patrick J Dunks, Nickolas Ortner
    • Date: Apr 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicare
  • Recommendations for a Successful ACA Rate Filing
    Recommendations for a Successful ACA Rate Filing Summary of common mistakes made by actuaries developing ACA ...

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    • Authors: Joseph Slater
    • Date: Nov 2016
    • Competency: Communication>Difficult message delivery; Communication>Oral communication; Communication>Persuasive communication; Communication>Written communication; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Health & Disability>Health insurance; Public Policy
  • Incurred Health Claims:One Lag Report is Not Enough
    Incurred Health Claims:One Lag Report is Not Enough Discussion of methods to estimate unpaid ... Health Claims:One Lag Report is Not Enough Discussion of methods to estimate unpaid claim liability UCL for ...

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    • Authors: Henry Frantz
    • Date: Apr 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability; Modeling & Statistical Methods
  • Combining an Actuarial and an Underwriting Approach
    T he essence of our profession is to reach a conclusion through an objective analysis of available data ... data. For much of my career I felt this was the only viable approach. After assuming respon- sibility ...

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    • Authors: David L Reichlinger
    • Date: Dec 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability