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Target Surplus and Reserves for Health Plans
these sessions get set up. About a year ago, a group of people got together. They decided on a great ... but they were one-line topics. That group recruited another group about three months later who got to ...- Authors: John Lloyd, John M Stenson, Daniel Pribe
- Date: May 2004
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Considerations for Surplus Determination under ACA
eliminating their high-risk pools. A previous report commissioned by the Society of Actuaries in 2013 ... PMPM for this population included in the same report. If the expected enroll- ment in the individual ...- 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
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Surplus and the ACA
affected the dy- namics of the individual and small group markets, in par- ticular. For example, insurance ... Insurance Com- missioners (NAIC) established a working group to study the development of an RBC re- quirement ...- Authors: Daniel Pribe
- 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
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Managing Population Health
outcomes of a group of individuals, including the distribution of such out- comes within the group.”3 This ... “Population” is simply the sum of all the people within a group. Consequently, “population health” can be defined ...- Authors: Daniel Pribe
- Date: May 2016
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Valuation and Pricing Challenges Under The ACA
affordable for the commercial, individual and small group markets. And, second, to stabi- lize the markets ... introduced to stabilize the indi- vidual and small group markets as we transition from a “pre-ACA” to a ...- Authors: Daniel Pribe
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge
- Publication Name: In The Public Interest
- Topics: Public Policy