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  • Accountable Care Organizations: An Untapped Opportunity
    Accountable Care Organizations: An Untapped Opportunity Since health care reform has made accountable ... accountable care organizations a hot topic, an SOA workgroup is addressing relevant questions, including provider ...

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    • Authors: Jim Toole, Sara Teppema
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
  • Prologue
    Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health insurance;Medical ... insurance;Medical Loss Ratio=MLR;Accountable care organizations= ACO;Rate regulation;Medicare;Medicaid;Health policy ...

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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
  • Potential Impact of Pandemic Influenza on the U.S. Health Insurance Industry Report
    Potential Impact of Pandemic Influenza on the U.S. Health Insurance Industry Report This ... different payers in the U.S. health care system. Catastrophic risk;Health care costs;Health economics;Mortality ...

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    • Authors: Jim Toole
    • Date: Jun 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health risks
  • Potential Impact of Pandemic Influenza on the U.S. Life Insurance Industry Report
    the severe scenario is particularly important to direct writers, as reinsurer capitalization may be stressed ... three primary areas: pandemic scenario assumptions, life insurance industry assumptions (direct writers) ...

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    • Authors: Jim Toole
    • Date: May 2007
    • Competency: External Forces & Industry Knowledge; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Demography>Mortality - Demography; Economics>Health economics; Finance & Investments>Economic value; Life Insurance>Claims - Life Insurance
  • Pandemic Model Tool Documentation
    Pandemic Model Tool Documentation Spreadsheet with documentation for exhibits to the May 2007 report: ... regarding how the assumption was developed. A direct writer’s reinsurance program is tailored for its ...

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    • Authors: Jim Toole
    • Date: May 2007
    • Competency: External Forces & Industry Knowledge; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Demography>Mortality - Demography; Economics>Health economics; Finance & Investments>Economic value; Life Insurance>Claims - Life Insurance