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Understanding the Medical Stop-Loss Market
high-dollar medical claims that exhaust the company’s profit for the year.[1] This article details the medical ... these programs operate effectively to the purchaser’s benefit, even on claims below the stop-loss attachment ...- Authors: Keith Passwater, Peter Robinson, David Nelson
- Date: Jun 2022
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Reinsurance; Health & Disability>Provider risk
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Managing Health Insurance Company Risks in a Recession
current U.S. market expansion started in the third quarter of 2009, making this the longest in U.S. history ... Although most economists put the probability of a U.S. eco- nomic recession in 2019 well below 50 percent ...- Authors: Keith Passwater, David Nelson
- Date: Oct 2019
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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Buying and Selling Employer Stop-loss is simple…. or is it?
would generate the average results presented in Table 1. The 5 to 10 percent rule of thumb seems to generate ... covered claim is large (see annual top 10 gains in Table 1) in relation to the premium. And if the employer ...- Authors: David Nelson, Keith Passwater
- Date: Oct 2020
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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Valuation of Health Business for Mergers and Acquisitions [M&As]
quickly move into how and why transactions are done. Table 1 shows nine major transactions that have happened ... will probably be affected by an M&A in some way. TABLE 1 SUMMARY OF MANAGED CARE TRANSACTIONS VALUE/ ...- Authors: Robert Dobson, Timothy Harris, David Nelson, Jerry W Fickes
- Date: May 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Could a Unicorn Bend the Trend?
Could a Unicorn Bend the Trend? Vast sums of private equity are flowing into start-ups intent ... follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ...- Authors: David Nelson, Amy Christensen, Keith Passwater
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health risks
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HMOs - The Role of the Actuary
HMOs - The Role of the Actuary This panel at the SOA 1998 New York Annual Meeting discusses the ... the big pictures that the actuaries bring to the table, or are they going through things by rote? The ...- Authors: David Nelson, Harry L Sutton, Robert E Wilcox, Karin Swenson-Moore
- Date: Oct 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance