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  • A Tax Like No Other: The Health Insurer Fee
    A Tax Like No Other: The Health Insurer Fee The PPACA imposed a market share-based ... business of providing health insurance coverage for U.S. health risks. This article provides background information ...

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    • Authors: Mersini Keller
    • Date: Oct 2015
    • Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Taxing Times
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Public Policy
  • Commercial Health Care: What’s Next?
    Commercial Health Care: What’s Next? This article contains excerpts from the first three articles that ... strategic initiative - Commercial Health Care: What’s Next? health policy;Health care reform;gender factors;health ...

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    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy
  • Let's Talk -- Interview with an Actuary "In the Public Interest"
    Let's Talk -- Interview with an Actuary "In the Public Interest" Discussion ... Let's Talk -- Interview with an Actuary "In the Public Interest" Discussion about career ...

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    • Authors: John Bertko
    • Date: Jul 2015
    • Competency: Leadership>Influence; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health insurance; Public Policy
  • Soundbites from the American Academy of Actuaries' Health Practice Council Activities
    years brings Leap Day, the Summer Olympics, and a U.S. presidential election. Although the actuarial profession ... CMS, and the NAIC. Amicus Brief In November, the U.S. Supreme Court announced that it would hear a challenge ...

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    • Authors: Heather E Jerbi, Tim M Mahony
    • Date: May 2012
    • Competency: Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy
  • Frequently Asked Questions about the Cost of the Future Newly Insured under the Affordable Care Act (ACA) SOA Study--And Other Things you Migh Not Know by Just Reading the Executive Summary
    (HBSM) which is a micro-simulation model of the U.S. health care system that has been used for over ... assumptions, which are included in the detailed Excel table outputs included with the report. Because many of ...

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    • Authors: David Toumala
    • Date: Oct 2013
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care quality; Health & Disability>Health insurance; 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
  • Selling Health Insurance Across State Lines
    implementation of the ACA. The ACA allows the U.S. Office of Personnel Management (OPM) to oversee ... of America, the District of Colum- bia and the U.S. Territories. 2 From Kaiser Health News: State coverage ...

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    • Authors: Lawrence Mitchell
    • Date: Aug 2017
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health insurance; Public Policy
  • Implementing the ACA: An Actuarial Perspective
    Protection and Affordable Care Act, passed by the U.S. Congress in early 2010. Accountable Care Organization ... of the actual health care costs to the average U.S. citizen,” said Poppe. “Most employees are not ...

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    • Authors: Karin Swenson-Moore
    • Date: Dec 2013
    • Competency: Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy