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  • The ACA’s Medical Loss Ratio Provisions: Looking Back
    The ACA’s Medical Loss Ratio Provisions: Looking Back The ACA’s Medical Loss Ratio Provisions Patient ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...

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    • Authors: Rowen Bell
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Wall of Comments
    Wall of Comments A compilation of feedback from actuaries in the Health Section of the affects of the ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...

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    • Authors: Society of Actuaries
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • The True Cost of Coverage
    The True Cost of Coverage This article provides an in-depth discussion of how subsidies are an integral ... integral part of affordability for individual health insurance under the Affordable Care Act, and, ultimately ...

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    • Authors: Gregory Fann
    • Date: Dec 2015
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models
  • 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 ... individual market evolution from before the ACA through President Trump's first term. Individual health plans ...

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    • 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
  • Dental Diagnosis Coding: The State of the Art
    Coding: The State of the Art Diagnostic coding in dental is in its infancy. This article explores the use ... use of medical diagnostic coding and how it may transform dental care in various ways. dental 6442476748 ...

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    • Authors: Joanne E Fontana
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • The Role of the Affordable Care Act in Payment Reform
    The Role of the Affordable Care Act in Payment Reform Affordable Care Act and Payment Reform Patient ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...

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    • Authors: Juliet Michelle Spector
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Vendor Comments to A Comparative Analysis of Claims-Based Tools for Health Risk Assessment
    A Comparative Analysis of Claims-Based Tools for Health Risk Assessment The Johns Hopkins ACG Team's ... comments regarding their participation in the Comparative Analysis of Claims-Based Tools for Health Risk Assessment ...

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    • 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
  • The Actuarial Value of Original A/B Medicare
    The Actuarial Value of Original A/B Medicare This article examines the concept of Actuarial Value, especially ... applies to the Medicare plan of benefits. It discusses the cost-sharing responsibility of Medicare beneficiaries ...

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    • Authors: Daniel W Bailey
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare
  • 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 evolution ... evolution of the individual market. It begins with background, discusses present markets and 2018 regulations ...

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    • 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
  • Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
    Organizations: Getting a Bigger Bang for the Buck Panel discusses the effects of reduced payment levels to many ... Medicare managed care organizations. From the Record of the Society of Actuaries, Vol. 24, No. 2. Chronic ...

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    • Authors: Oscar Lucas, Peggy Tyndall
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare