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  • The Future Of U.S. Health Care: A Two-Tiered System
    The Future Of U.S. Health Care: A Two-Tiered System This essay highlights a view that many have for ... two-tiered system and how various stakeholders in today’s system will be affected. Commissions;Health insu ...

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    • Authors: Brad Hayes Vernon
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Human Nature and the US Health Care System, Part I
    strategic interactions of those who participate in the U.S. health care system, understand the root causes of ... confuse them—Harry Truman What is the problem with the U.S. health care system? Answering this question is important ...
    • Authors: Carlos Eduardo Fuentes
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>General business skills; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Innovators & Entrepreneurs
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
  • 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
  • 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 ...

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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
  • Health Insurance from a Non-Actuary's Viewpoint
    Non-Actuary's Viewpoint This session discussion is about outside actuarial profession's perspective ... perspective on health care cost, insurer's role in medical care management, relationships between treatment ...

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    • Authors: Norman E Hill, Peter LePort, William Carter Henning, Harold C Yancy
    • Date: Apr 1992
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
  • Free Market Fix
    V I S I O N S F O R T H E F U T U R E Of The U.S. Health Care System 57 Health care in the United ... recommended care. How Do We Fix The System? Fixing the U.S. health care system requires reducing the level ...

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    • Authors: Joseph Slater
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Leadership>Thought leadership
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicaid; Social Insurance>Medicare
  • Mental Health Insurance Parity
    health-care industry blossomed. Table 1 shows the percentage of the U.S. population enrolled in managed ... my projection is that about two-thirds of the U.S. population will be in a managed care organization ...

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    • Authors: Stephen P Melek
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
  • Prologue
    it results in higher rates of mor- bidity and mortality for the uninsured and in some cases those around ... that in 2009— the year before the ACA was passed—U.S. health care spend- ing topped 16 percent of gross ...

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    • Authors: Jim Toole
    • 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 CLASS Act and its Aftermath
    guid- ance. Nevertheless, the Secre- tary of the U.S. Department of Health and Human Services had sufficient ... future workers. Currently, there are 217 million U.S. adults age 25 and over.9 In order to appreciate ...

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    • Authors: Robert Yee
    • 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
  • 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