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Implementing the ACA: An Actuarial Perspective
Protection and Affordable Care Act, passed by the U.S. Congress in early 2010. Accountable Care Organization ... of the actual health care costs to the average U.S. citizen,” said Poppe. “Most employees are not ...- Authors: Karin Swenson-Moore
- Date: Dec 2013
- Competency: Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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Physician Incentive Programs
to be 25% at risk. Let’s look at Table 1. The first row of the table is the 1–1,000 panel size. They ... surveys and ensure that stop-loss is in place. TABLE 1 STOP-LOSS PROTECTION 90% OF COSTS OF REFERRAL ...- Authors: Larry Pfannerstill, Martin Staehlin, Application Administrator
- Date: May 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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So, What About HSAs?
ABOUT HSAs, AND WHAT ARE THEY? According to the U.S. Treasury—HSA Web site, “A Health Savings Account ... released, including a detailed report from the U.S. Government Accountability Office (“GAO”) regarding ...- Authors: Charla J Finley, Randall Wichinski
- Date: May 2009
- Competency: External Forces & Industry Knowledge
- Publication Name: Taxing Times
- Topics: Health & Disability>Health insurance; Public Policy
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Strategies for Leveraging the ACA Risk Adjuster
the additional allowable data sub- mitted to the U.S. Department of Health and Human Services (HHS). ... account for this effect. A study performed by the U.S. Government Accountability Office (GAO) COnTInUEd ...- Authors: Jason Siegel
- Date: Oct 2013
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks
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Trends In Medical Benefit Plan Design To Control Claim Costs
health care." The third quote is by the Chairman of U.S. Steel, David M. Roderiek, in a publication put out ... there. I refer you to the May 17, 1982 issue of U.S. News & World Report, There is a rather graphic article ...- Authors: Application Administrator, Peter B Hutzel, Jerry E Lusk, James Miles
- Date: May 1982
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Impact of Proposed Health Care Reform on Smaller Insurance Companies
Impact of Proposed Health Care Reform on Smaller Insurance Companies This article discusses ... potential complete take- over of health insurance for U.S. citizens 55 and older will seriously encroach on ...- Authors: Cabe Chadick, David Dillon
- Date: Nov 2009
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Small Talk
- Topics: Health & Disability>Health insurance; Public Policy
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Valuation of Care Management Vendors
Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings ... costs changed that. As an increasing part of the U.S. gross domestic product and American workers’ paychecks ...- Authors: Rick S Pawelski
- Date: May 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Update in the Employer Stop Loss Medical Insurance Market
Update in the Employer Stop Loss Medical Insurance Market The focus of this article is to ... CHAIRPERSON’S CORNER by Gaetano Geretto LONGEVITY: MORTALITY IMPROVEMENT by John Kingdom SOMEWHERE OVER THE ...- Authors: Michael Frank
- Date: Aug 2008
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Reinsurance News
- Topics: Health & Disability>Health insurance
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Small Group
constant monitoring in order to make it work well. MR. S. SMITH: In the selling area you have to pick your ... emphasis has not been on graded commissions. MR. S. SMITH: I would think that with the way the premiums ...- Authors: Application Administrator, Jeffrey Miller, Sherwood Z Smith, Trevor G Smith
- Date: May 1982
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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The Sustainability of the New American Entitlement: Actuarial Values and the ACA
ENTITLEMENTS While not necessarily comprehensive, the table below illustrates a history of major entitlement ... legislation in the United States. As suggested in the table, American public assistance and social insurance ...- Authors: Gregory Fann
- Date: Sep 2016
- Competency: Communication>Difficult message delivery; Communication>Persuasive communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Change management; Leadership>Influence; Leadership>Thought leadership; Professional Values>Ethical standards; Professional Values>Practice expertise; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: In The Public Interest
- Topics: Economics>Behavioral economics; Economics>Financial markets; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability