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  • ASOP No. 6 Exposure Draft Provisions Relating to Community-Rated HMO Contracts
    ASOP No. 6 Exposure Draft Provisions Relating to Community-Rated HMO Contracts ASOP ... Discusses determination of initial per capita health care rates, effect on valuation results, accounting standards ...

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    • Authors: Application Administrator
    • Date: Jan 2002
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Standards of practice
  • ASOPs, Anti- Selection, Affordability and ACA Altern
    related to the implementation of the Afford- able Care Act (ACA). At the time, there was a general sense ... that it’s just they haven’t prioritized health care because right now everybody’s healthy. Nobody actually ...

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    • Authors: Gregory Fann
    • Date: Nov 2016
    • Competency: Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Standards of practice; Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
  • Letter from the Editor
    co- authored an article on the role of palliative care for patients with serious illness. It is an area ... of us who have ever had a loved one use hospice care, this article will have a special interest. It ...

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    • Authors: Marilyn Medved McGaffin
    • Date: Nov 2016
    • Competency: Communication>Written communication; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice
  • Health Section Issues New IBNR Study
    Health Section Issues New IBNR Study Summary of the health section council’s research project ... traditional lag, Paid PMPM, etc.) is applied. 6. Care should be taken in determining which IBNR method ...

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    • Authors: Steven Siegel, Cabe Chadick
    • Date: Feb 2010
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Standards of practice; Financial Reporting & Accounting; Health & Disability>Health care; Modeling & Statistical Methods>Modeling efficiency
  • Health Actuaries and the Short-term Prediction Problem
    inherent complexity of predicting future health care costs in a relatively short time frame—particularly ... predictions far into the future—estimates of health care spending in 20 years or the expected deficit in ...

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    • Date: May 2012
    • Competency: Communication>Oral communication; Communication>Written communication; External Forces & Industry Knowledge>General business skills; Leadership>Influence; Professional Values>Practice expertise; Relationship Management>Relationships and trust; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Management partnership
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing
  • The Actuarial Memorandum in Support of the Health Statement
    The Actuarial Memorandum in Support of the Health Statement Preparing an effective actuarial ... rebate liability • No documentation of $0 Affordable Care Act (ACA) risk- adjustment amounts • The company ...

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    • Authors: Annette James, Nancy Hubler
    • Date: Oct 2018
    • Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>General business skills; Professional Values>Practice expertise
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance