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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 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
  • 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
  • Will MedSupp Have “2020” Vision in the World of MACRA?
    MedSupp Have “2020” Vision in the World of MACRA? This article discusses the impact for MACRA legislation ... legislation that will impact the Medicare Supplement market in 2020 and the ramifications for Med Supp carriers ...

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    • 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
  • Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
    Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level Presenters discuss ... discuss the differences between patient treatment protocols and length-of-stay guidelines, and some of the ...

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    • Authors: Donna Kalin, Deborah Loveland, William E Mabe
    • Date: Jun 1998
    • 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; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance
  • Pricing Issues Related to Supplemental Health Products
    accident and health coverages. From the Record of the Society of Actuaries, Vol. 25, No. 2. Accident ... plans;Loss ratio=LR;Marketing and distribution;Medical expenses;Persistency;Preventive care;Product d ...

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    • Authors: Floyd Martin, Dennis Hare, Darrell D Spell
    • Date: Jun 1999
    • 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: Health & Disability>Accident insurance; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Reinsurance>Product development - Reinsurance
  • Taxes and Fees Introduced by the ACA
    Taxes and Fees Introduced by the ACA Taxes and Fees Introduced by the ACA Patient Protection and Affordable ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...

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    • Authors: Michael Gaal
    • 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
  • Current Medicare Issues and How the American Academy of Actuaries Is Involved
    Issues and How the American Academy of Actuaries Is Involved The American Academy of Actuaries is engaged ... proactively examine the future status of the Medicare Program. This session presents the findings that have ...

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    • Authors: Application Administrator, Thomas F Wildsmith, Donna C Novak, Jill Ann Stockard, John Trout
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicare