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  • Reforming Taiwan’s NHI with Managed Competition
    Reforming Taiwan’s NHI with Managed Competition Evaluation of Taiwan's National Health insurance ...

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    • Authors: Chiu-Cheng Chang
    • Date: Sep 1998
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
    • Publication Name: International News
    • Topics: Economics>Health economics; Health & Disability>Health insurance; Public Policy; Public Policy
  • Marketing and Pricing Considerations of Group Insurance in the 1980's
    Considerations of Group Insurance in the 1980's Discussion of anticipated marketing and pricing considerations ... considerations of Group Insurance in the 1980's including: a. Regulatory environment including ...

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    • Authors: Robert C Benedict, Richard S Bilisoly, Claude Lamoureux, Bernard J Villa
    • Date: May 1981
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Life Insurance>Group plans - Life Insurance; Public Policy
  • Proposals for Health-Care Reform
    five people who are smart enough to sit around a table in Washington and say, "In 1993, this country is ... These widely divergent situations are common in the U.S. today - and they point to some serious problems ...

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    • Authors: Gregory N Herrle, Greg Scandlen, Liz Conway
    • Date: Oct 1992
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health insurance; Public Policy; Public Policy
  • 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
  • The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
    payment percentages by star rat- ing are shown in the table in Figure 1. The percentage of the savings a plan ... rebate percentages by star rating are shown in the table in Figure 2. Special rules apply to low-enrollment ...

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    • Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
    • Date: May 2012
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
  • Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
    wanted this thing to go, get everybody around the table to agree on that, and then get everybody to play ... a small employer, they don't bring much to the table. When it comes to the network, the plan design ...

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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