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Strategies for Leveraging the ACA Risk Adjuster
of diagnosis coding, controlling member mix, and care management in order to mitigate risks and gain from ... score;Healthcare Reform;Coding Improvement;Affordable Care Act;Commercial risk adjuster 6442451575 10/1/2013 ...- 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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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article ... individual market exchanges included in the Affordable Care Act. PDP carrier actions to date could help predict ...- Authors: Shelly Brandel
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
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Recommendations for a Successful ACA Rate Filing
Recommendations for a Successful ACA Rate Filing Summary of common mistakes made by actuaries ... Peer Review process. Health insurance;Affordable Care Act;Rate regulation 6442471998 11/1/2016 12:00:00 ...- 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
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Navigating Cost-Sharing Reduction Subsidy Defunding
Navigating Cost-Sharing Reduction Subsidy Defunding This paper will examine why CSR defunding ... 2020 premiums. Patient Protection and Affordable Care Act, Rate regulation, Individual health plans 3/14/2019 ...- Authors: Michael Cohen, Peter van Laarhoven
- Date: Mar 2019
- Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy
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The Evolution of the Individual Market (Part II)
The Evolution of the Individual Market (Part II) Part II of a two-part series discussing individual market evolution ... plans, Government-funded healthcare, Affordable Care Act (ACA) 3/14/2019 12:00:00 AM ...- Authors: Gregory Fann
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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CSRs and Market Stabilization: What’s the Real Story?
CSRs and Market Stabilization: What’s the Real Story? Argues that reinstatement of CSR (cost-sharing ... health plans;Government-funded healthcare;Health care reform;Health policy 6442480951 2/1/2018 12:00:00 ...- Authors: Dean Ratzlaff
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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The Evolution of the Individual Market (Part I)
The Evolution of the Individual Market (Part I) Part I of a two-part series concerning the ... 2018 regulations. Individual health plans;Health care reform;Risk adjustment 6442475088 3/1/2017 12:00:00 ...- Authors: Gregory Fann
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Health Highlights from the 2016 SOA Annual Meeting & Exhibit
Health Highlights from the 2016 SOA Annual Meeting & Exhibit This article summarizes ... Exhibit from a Health Section perspective. Health care reform;Value-based insurance design;Health insurance ...- Authors: Gregory Fann
- Date: Mar 2017
- Competency: Communication>Active listening; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development; Health & Disability>Health insurance
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ACA Exchange Initiatives Program Interview
ACA Exchange Initiatives Program Interview The interview discusses the ACA exchange intiatives ... actuarial principles Patient Protection and Affordable Care Act;Strategic Risks 6442475095 3/1/2017 12:00:00 ...- Authors: Kurt Wrobel
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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The Art & Science of PricingSmall Group Medical Coverage: From Debits to Risk Factors
The Art & Science of PricingSmall Group Medical Coverage: From Debits to Risk Factors Pricing ... manual and risk factors. Issue No. 45. Health care costs;Premiums;Risk adjustment; 9415 4/1/2003 ...- Authors: William Lane
- Date: Apr 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance