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Navigate through Risk-Based Capital with Success
operations, taking into consideration the insurer’s size and risk profile.”[1] Regulators use RBC to assess ... authority to take control of the insurer if the insurer’s RBC falls below regulatory levels. These levels provide ...- Authors: Karena Weikel, Jinjun (Sophia) Yu
- Date: Dec 2021
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Actuarial Profession; Finance & Investments
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Session 059: ACA Risk Adjustment Data Validation – It Matters! Learning from Year 1 and Beyond
discuss the findings from a national study, and RADV’s ultimate impact to risk transfers, as well as downstream ... ACA RADV program otherwise unavailable. The panel’s agenda will include:1. A succinct overview of the ...- Authors: Karena Weikel, Chia Yi Chin, Matthew Sauter, Alexander Mark Vojta
- Date: Jul 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health insurance
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Risk Adjustment: The Details and Why They Matter
of data from RAPS and EDPS in its calculations (Table 1). CMS has indicated the weighting will be as ... from RAPS at 90 percent and EDPS at 10 percent. Table 1 Encounter Data Blending Schedule Payment Year ...- Authors: Karena Weikel
- Date: Feb 2018
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks