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Cost and Benefit Trends Observed in July 1, 2011 Renewals for State Employers
following are additional possible explanations. S tate employer health plans face complex cost dynamics ... market in general. The premium trends in the table in Figure A-1 are based on the total premiums as ...- Authors: Robert Gordon Cosway, Barbara Dewey
- Date: Oct 2011
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Considerations for Surplus Determination under ACA
There are five separate actionable outcomes (see Table 1). For a health care insurer that is between 200 ... He can be reached at richard.tash@optum. com Table 1: Risk-Based Capital authoritative action Outcomes ...- Authors: Daniel Pribe, Richard Tash, David M Tuomala
- Date: May 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Accountable Care Organizations: An Untapped Opportunity
third-party, objective analysis when they are at the table bargain- 8 | september 2010 | Health Watch area ... health care costs if actuaries had been at the table with providers earlier in the process. ACO leadership ...- Authors: Jim Toole, Sara Teppema
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
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Health Product Profitability
Minimum Health Bene- fits for All Workers Act of 1987 (S. 1265). Currently, there is limited activity going ... President, Jack Whelan, at the Execu- tive Round Table of the ACL[. The key and sometimes only reason for ...- Authors: Application Administrator, David L Baxter, John A Hartnedy, W Duane Kidwell, John Ladley, Barbara Niehus, David Trindle
- Date: Oct 1988
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Health Insurance
Health Insurance Article Health Insurance in The Actuary, June 1979, Volume 13, Number 6 Health economics;Health ... 6 Page Six THE ACTUARY q June, 1979 THE U.S. GOVERPdMEMT COST DISCLOSURE REPORT by E. 1. Aloorhead ...- Authors: Application Administrator
- Date: Jun 1979
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: The Actuary Magazine
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
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A Comparative Analysis of Claims-Based Tools for Health Risk Assessment - 3M Comments
A Comparative Analysis of Claims-Based Tools for Health Risk Assessment - 3M Comments This one page ... Health Program, Office of Technology Assessment, U.S. Congress.). 3. The MAPE results reinforce this ...- Authors: Society of Actuaries
- Date: Aug 2001
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Social Insurance>Medicare
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Medicaid and the ACA
Medicaid and the ACA Medicaid and the ACA Patient Protection and Affordable Care Act= PPACA=Affordable ... to interface between the On June 28, 2012, the U.S. Supreme Court issued a deci- sion that while the ...- Authors: Rebecca Owen
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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A Regulatory Perspective on Rate Review Before and After the Affordable Care Act
released separate guid- ance indicating that the U.S. Department of Health and Hu- man Services (HHS) ... eration of Independent Business v. Sebelius, the U.S. Supreme Court upheld two of the main provisions ...- Authors: Annette James
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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A Road Less Traveled
A Road Less Traveled The article described recent major advances in measurement of health programs ... pro- grams are dual challenges: (1) a fragmented U.S. health system; and (2) a payment system focused ...- Authors: Greger J Vigen
- Date: Jul 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care
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Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
wanted this thing to go, get everybody around the table to agree on that, and then get everybody to play ... a small employer, they don't bring much to the table. When it comes to the network, the plan design ...- Authors: Donna Kalin, Deborah Loveland, William E Mabe
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance