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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 ...

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    • Authors: Keith Passwater, David Nelson
    • Date: Oct 2019
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • 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 ...

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    • Authors: Gregory Fann
    • Date: Oct 2020
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Considerations in the Development of Area Factors
    Considerations in the Development of Area Factors Considerations in the Development of Area ... politi- cal and litigation threats against managed care are gaining momentum; prescription drug costs are ...

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    • Authors: David L Reichlinger
    • Date: Aug 2000
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • 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 ...

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    • Authors: Robert Cumming
    • Date: Oct 2002
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • 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; ...

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    • Authors: Jacqueline Lee
    • Date: Feb 2020
    • Competency: Communication; Relationship Management
    • Publication Name: Health Watch
    • Topics: Actuarial Profession; Health & Disability
  • 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 ...

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    • Authors: Jeffrey Miller
    • Date: Apr 2001
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Quantile Regression - A New Actuarial Approach to Claims Estimation
    distribution (due to better compliance with preventive care and maternity costs) but may not have a significant ... difference in cost at the 98th percentile (since care for many catastrophic diseases may not vary significantly ...

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    • Authors: Robert Jason Reed (Jason)
    • Date: Apr 2020
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability; Predictive Analytics; Health & Disability>Claims - Health & Disability; Predictive Analytics>Modeling techniques
  • Incurred Health Claims:One Lag Report is Not Enough
    What’s Normal vs. What’s Perfect Practicing health care actuaries know that there are many factors influencing ... 5 and in the actuarial liter- ature. The health care actuary who attempts to employ the development method ...

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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