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  • A Summary of the Updated Medical Loss Ratio Methodology and Historical Results
    A Summary of the Updated Medical Loss Ratio Methodology and Historical Results This is a brief report ... recent changes in the prevalent medical loss ratio methodologies and also looks at some of the more recent ...

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    • Authors: Society of Actuaries
    • Date: Dec 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA)
  • Medicare Supplement and FASB’s Long-Duration Targeted Improvements Project                           Part I: Context
    In 2018, the Financial Accounting Standards Board (FASB) adopted significant revisions to the U.S. GAAP ... Update (ASU) 2018-12. The title of ASU 2018-12 is “Targeted Improvements to the Accounting for Long-Duration ...

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    • Authors: Rowen Bell
    • Date: Aug 2021
    • Competency: External Forces & Industry Knowledge
    • Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Generally Accepted Accounting Principles [GAAP]; Health & Disability; Health & Disability>Health insurance
  • Our Value-Based Cup Runneth Over
    Our Value-Based Cup Runneth Over Discussion of how to mature value-based contracts between health insurers ... actuaries and leaders. Authors are writing from the provider perspective in value-based contracts. th ...

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    • Authors: Daniel Reck (Dan), Lisa Swan, Sam Johnmeyer
    • Date: Aug 2022
    • Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Provider risk
  • SIPF Goes to the Health Meeting
    SIPF Goes to the Health Meeting Social Insurance & Public Finance Section council members provide a ... a recap of sessions from the 2021 SOA Health Meeting, with a focus on sessions covering Medicare, Medicaid ...

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    • Authors: Stephanie Dawn Entzminger , Marilyn Medved McGaffin, Gregory Fann
    • Date: Jul 2021
    • Competency: External Forces & Industry Knowledge
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health insurance; Public Policy; Social Insurance; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare; Health & Disability>Affordable Care Act (ACA)
  • Medicare Supplement and FASB’s Long-Duration Targeted Improvements Project                            Part II: Conclusions
    In 2018, the Financial Accounting Standards Board (FASB) adopted significant revisions to the U.S. GAAP ... Update (ASU) 2018-12. The title of ASU 2018-12 is “Targeted Improvements to the Accounting for Long-Duration ...

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    • Authors: Rowen Bell
    • Date: Aug 2021
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Generally Accepted Accounting Principles [GAAP]; Health & Disability; Health & Disability>Health insurance
  • Provider Networks – Actuarial Perspective on Performance In and Out of Exchanges
    Performance In and Out of Exchanges A research report describing aspects of provider network performance ... care reform;Provider Networks The Health Section Research Committee and the Health Section are pleased to ...

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    • Authors: Society of Actuaries
    • Date: Mar 2018
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health insurance