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  • Medical Loss Ratio: An Entrepreneurial Approach to Health Care Reform
    Loss Ratio: An Entrepreneurial Approach to Health Care Reform This is a discussion of the medical loss ... ratio=LR;Patient Protection and Affordable Care Act= PPACA=Affordable Care Act; 4294978806 8/1/2011 12:00:00 ...

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    • Authors: Mark Florian
    • Date: Aug 2011
    • Competency: Strategic Insight and Integration
    • Publication Name: The Independent Consultant
    • Topics: Health & Disability>Health insurance; Public Policy
  • Editorial - Managed Care Creates Key Role For Actuaries
    Editorial - Managed Care Creates Key Role For Actuaries In this editorial the author discusses how actuaries ... actuaries can help mitigate the impact of managed care lawsuits. Examples are provided. From: The ...

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    • Authors: Janet Carstens
    • Date: Apr 2000
    • Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health insurance
  • Possible Future of U.S. Healthcare
    difference between a Single-Payer and Universal Health Care System, and how could the U.S. implement a system ... quality. Medicare for All, Payment reforms=Health care payment reforms 11/22/2019 12:00:00 AM ...

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    • Authors: Roy Goldman
    • Date: Nov 2019
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
  • Medical Out-of-Pocket Products Overview
    HDHPs moved a larger share of the cost of health care onto the consumer. MOPPs were designed to ease ... plan, the adjudication of claims is done at the primary carrier—an administrative savings. 2. MOPP benefits ...

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    • Authors: Rex Durington
    • Date: Mar 2017
    • Competency: Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • New Contract Medicare Star Ratings: Why The Sudden Cliff?
    New Contract Medicare Star Ratings: Why The Sudden Cliff? On average, contracts receiving their first star rating receive ... Rating cliff? Value-based insurance design, Managed care 1/6/2020 12:00:00 AM ...

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    • Authors: Suzanna-Grace Sayre, Danielle Beierle
    • Date: Jan 2020
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance