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High Pressure
play a vital role in containing employers’ health care costs. Managing general underwriters [MGUs], who ... lost market share to large direct writers. This article discusses how health care reform and highly disciplined ...- Authors: David Nussbaum, Miriam E Kaufman
- Date: Mar 2012
- Competency: External Forces & Industry Knowledge
- Publication Name: Reinsurance News
- Topics: Reinsurance>Health reinsurance; Reinsurance>Stop-loss insurance
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Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal ... payment issues by gradually moving to accountable care organizations. Capitations would be risk-adjusted ...- Authors: Mark Florian
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance
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September 2015 Reinsurance News
companies can no longer rely on agents to be their primary point of contact with their middle market clients ... financial com- pany I deal with, “online” is the primary (if not only) way that I access my account in- ...- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>General business skills
- Publication Name: Reinsurance News
- Topics: Financial Reporting & Accounting; Reinsurance>Financial reporting for reinsurance; Reinsurance>Life reinsurance; Reinsurance>Long-term care reinsurance; Reinsurance>Marketing and distribution - Reinsurance; Reinsurance>Pricing - Reinsurance; Reinsurance>Product development - Reinsurance; Reinsurance>Reserving - Reinsurance; Reinsurance>Stop-loss insurance; Reinsurance>General reinsurance
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November 2015 Reinsurance News
42 percent work for a rein- surer, 38 percent a direct writer, 13 percent a consul- tant, and 7 percent ... falling out of sync with those who comprise their primary target market: young indi- viduals. The Untouchables ...- Authors: Society of Actuaries
- Date: Nov 2015
- Competency: External Forces & Industry Knowledge>General business skills
- Publication Name: Reinsurance News
- Topics: Reinsurance>Financial reporting for reinsurance; Reinsurance>Health reinsurance; Reinsurance>Life reinsurance; Reinsurance>Long-term care reinsurance; Reinsurance>Marketing and distribution - Reinsurance; Reinsurance>Pricing - Reinsurance; Reinsurance>Product development - Reinsurance; Reinsurance>Reserving - Reinsurance; Reinsurance>Stop-loss insurance; Reinsurance>General reinsurance
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Current Issues In Stop Loss Market
presented two surveys of loss ratios from a sample of direct insur- ance writers. In his study from 1999, loss ... employers willing to make such a change with little direct benefit to them? The panel had a lively discussion ...- Authors: Daniel Wolak
- Date: Sep 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Reinsurance>Stop-loss insurance
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Health Reinsurers Brace for Cell and Gene Therapy
the health/reinsurance actuary? It means health care technology is creating miracles like curing cancer ... the condition. But with most individual’s health care costs capped at an annual out of pocket, are the ...- Authors: Mehboob Khoja
- Date: Apr 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Reinsurance News
- Topics: Health & Disability; Reinsurance>Health reinsurance; Reinsurance>Pricing - Reinsurance; Reinsurance>Reserving - Reinsurance; Reinsurance>Stop-loss insurance
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Employer Stop Loss Insurance Considerations
non-discriminatory fashion and also arrange for managed care services such as case management uti- lization review ... may include additional coverages beyond medical care including dental, short term disability and vision ...- Authors: Mark Troutman
- Date: Nov 2007
- Competency: External Forces & Industry Knowledge
- Publication Name: Reinsurance News
- Topics: Reinsurance>Health reinsurance; Reinsurance>Stop-loss insurance
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Developing A Stochastic Mortality Framework To Support The Reinsurance Market
Jeff Burt 28 BuSineSS DeciSionS—reinSurer verSuS Direct coMpany perSpectiveS reSultS oF the Soa liFe ... insurance. Mortality risk is composed of four primary risk elements, including: reinSurance newS ...- Authors: Matthew P Clark, Chad R Runchey
- Date: Feb 2008
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Reinsurance News
- Topics: Modeling & Statistical Methods>Scenario generation; Modeling & Statistical Methods>Stochastic models; Reinsurance; Reinsurance>Stop-loss insurance
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Discussion of Paper: Introduction to Nonproportional Reinsurance
63 discusses can, of course, be calculated by direct truncation of this approxi- mate frequency distribution ... being a better statisti- cal procedure than the direct estimate of an arbitrary h factor as seems to ...- Authors: J Stanley Hill, George F M Mayo, James B Ross, Paul Thomson, Daniel James Lyons, Paul Markham Kahn, Irving Rosenthal, Herbert L Feay
- Date: Mar 1960
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Transactions of the SOA
- Topics: Reinsurance; Reinsurance>Stop-loss insurance
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Is Level Funding on the Level ?
available to smaller employer groups. The Affordable Care Act (ACA) was designed with several desired outcomes: ... of people covered by insurance to spread health care risk over a greater base of individuals, to make ...- Authors: Mark Troutman
- Date: Jul 2018
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Reinsurance News
- Topics: Reinsurance>Stop-loss insurance