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Vendor Comments to A Comparative Analysis of Claims-Based Tools for Health Risk Assessment
of payment can adversely impact health plans and care providers. The ACG System stresses clinical ... satisfaction of payers and those responsible for care. Additionally, the ACG predictive models have been ...- Authors: Society of Actuaries
- Date: May 2007
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Regression analysis
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Will MedSupp Have “2020” Vision in the World of MACRA?
Recently passed legislation referred to as MACRA (Medi-care Access and CHIP Reauthorization Act of 20151) will ... modeling various reasonable scenarios of the Medi- care Supplement market, experience on policies issued ...- Authors: Kenneth Clark
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Is there currently an underwriting cycle?
substantial federal grants under the Affordable Care Act (ACA) to enhance their rate review procedures ... for certain risks and given the current health care environment. This analysis considers the 1999–2011 ...- Authors: Mark Shaw
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Systematic risk; Health & Disability>Health insurance
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The Actuarial Memorandum in Support of the Health Statement
The Actuarial Memorandum in Support of the Health Statement Preparing an effective actuarial ... rebate liability • No documentation of $0 Affordable Care Act (ACA) risk- adjustment amounts • The company ...- Authors: Annette James, Nancy Hubler
- Date: Oct 2018
- Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>General business skills; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance
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Continuance Study of Hospital Claims on Individually Underwritten Lives Age 65 and Over
has been made in providing hospital and medical care coverage for "senior citizens." Many com- panies ... evaluation of various federal compulsory health care proposals, the lack of actuarially reliable data ...- Authors: Anthony J Houghton
- Date: Oct 1963
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health insurance