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  • Commercial Healthcare: What's Next
    Commercial Healthcare: What's Next A new initiative, Commercial Health ... Commercial Healthcare: What's Next A new initiative, Commercial Health Care: What’s Next, will focus on education ...

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    • Authors: David Dillon, Elaine Corrough
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy
  • Commercial Health Care: What’s Next?
    Commercial Health Care: What’s Next? This article contains a condensed summary and excerpt from the ... fourth white paper in the Commercial Health Care: What’s Next? series. health care reform;risk adjustment;health ...

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    • Authors: David Dillon
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
  • Commercial Health Care: What’s Next? A Health Section Strategic Initiative
    Health Care: What’s Next? A Health Section Strategic Initiative The Health Section's strategic initiative ... initiative entitled Commercial Health Care: What’s Next? focuses on health care reform. This article contains ...

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    • Authors: David Dillon
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Public Policy; Public Policy
  • The Managed Care Market -Current Status, Future Direction
    The Managed Care Market -Current Status, Future Direction Current Status of managing costs & increasing costs, Future Direction ... 39. Health care costs;Managed care; 9359 12/1/2000 12:00:00 AM ...

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    • Authors: Kevin Dolsky
    • Date: Dec 2000
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • At the Intersection of Public Health and Actuarial Practice
    effective. Despite actuaries’ major role in the U.S. health care system, even a basic overview of the ... significant predictors of health outcomes. More excess mortality in the United States, for instance, is attributable ...

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    • Authors: Barbara Zabielski
    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Health & Disability>Health care; Health & Disability>Payment models; Public Policy; Social Insurance>Medicaid
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Ratings: Expectations for New Organizations By Kelly S. Backes, Julia M. Friedman, Dustin J. Grzeskowiak ... Advantage Bid Rebate Federal Part C Revenue Table 1 2019 Quality Bonus Payment and Rebate Percentages ...

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    • Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • Cost and Benefit Trends Observed in July 1, 2011 Renewals for State Employers
    following are additional possible explanations. S tate employer health plans face complex cost dynamics ... market in general. The premium trends in the table in Figure A-1 are based on the total premiums as ...

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    • Authors: Robert Gordon Cosway, Barbara Dewey
    • Date: Oct 2011
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Considerations for Surplus Determination under ACA
    There are five separate actionable outcomes (see Table 1). For a health care insurer that is between 200 ... He can be reached at richard.tash@optum. com Table 1: Risk-Based Capital authoritative action Outcomes ...

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    • Authors: Daniel Pribe, Richard Tash, David M Tuomala
    • Date: May 2014
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
  • Accountable Care Organizations: An Untapped Opportunity
    third-party, objective analysis when they are at the table bargain- 8 | september 2010 | Health Watch area ... health care costs if actuaries had been at the table with providers earlier in the process. ACO leadership ...

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    • Authors: Jim Toole, Sara Teppema
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy