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Understanding the Medical Stop-Loss Market
high-dollar medical claims that exhaust the company’s profit for the year.[1] This article details the medical ... these programs operate effectively to the purchaser’s benefit, even on claims below the stop-loss attachment ...- Authors: Keith Passwater, Peter Robinson, David Nelson
- Date: Jun 2022
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Reinsurance; Health & Disability>Provider risk
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Managing Health Insurance Company Risks in a Recession
current U.S. market expansion started in the third quarter of 2009, making this the longest in U.S. history ... Although most economists put the probability of a U.S. eco- nomic recession in 2019 well below 50 percent ...- Authors: Keith Passwater, David Nelson
- Date: Oct 2019
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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Buying and Selling Employer Stop-loss is simple…. or is it?
would generate the average results presented in Table 1. The 5 to 10 percent rule of thumb seems to generate ... covered claim is large (see annual top 10 gains in Table 1) in relation to the premium. And if the employer ...- Authors: David Nelson, Keith Passwater
- Date: Oct 2020
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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Health Section News, April 2004, Issue No. 47
Crisis Dan Wolak 3 Chairperson’s Corner Cindy S. Miller 3 Letter from the Editor Jeffrey D. Miller ... to our attention. 2004 SECTION LEADERSHIP Cynthia S. Miller, Chairperson Karl G. Volkmar, Vice-Chairperson ...- Authors: Application Administrator, Cynthia Miller, Jeffrey Miller, Daniel Wolak, Cori Uccello, Keith Passwater, Kara Clark, Brent Seiler, Kurt Wrobel
- Date: Apr 2004
- Publication Name: Health Watch
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
improve credibility enough that a larger provider's own prior period experience can be used directly, ... for providers to trust. Questions of the form “it's not clear or fair that I should be measured based ...
- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Predictive Modeling: Considerations for Care Management Applications
countries have signed up, with about 60 of these being U.S. actuaries. The Health Section Committee’s membership ... de. We would like to have strong presence from U.S. health actuaries at the Colloquium. We have a great ...- Authors: Keith Passwater, Brent Seiler
- Date: Apr 2004
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care