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  • Soundbites from the American Academy of Actuaries' Health Practice Council Activities
    December 2010, HHS released interim final regulations (IFRs) to implement the MLR requirements under ACA. In ... submitted comments1 addressing technical aspects of the IFRs to improve clarity and internal consistency, including ...

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    • Authors: Heather E Jerbi, Tim M Mahony
    • Date: May 2011
    • Competency: Communication>Written communication; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Health & Disability; Public Policy
  • Comparing Model Error Between a Standard Risk Adjustment Model and a Disease-Specific Risk Adjustment Model
    confidence intervals that were consistently 14 percent to 17 percent smaller than the HHS-HCC model for all sample ... the 95 percent confidence interval still reveals a 17 percent difference between the two group’s costs ...

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    • Authors: Andrew Mackenzie, Ian G Duncan
    • Date: Dec 2020
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • A Mental Health State of the Union
    in-network primary care providers (PCPs) per capita.[17] The lack of in-network mental health providers is ... he-covid-19-pandemic/ (accessed Apr. 24, 2023). [17] Hughes, Traci. “A Primer on Mental Healthcare Supply ...

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    • Authors: Traci Leigh Hughes
    • Date: May 2023
    • Competency: Results-Oriented Solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health care
  • A Look at Top Health Care Systems Around the World
    seeking to develop a generic alternative, and more.[17] In July 2020, the United States finalized regulation ... ransparency-initiative (accessed Apr. 8, 2021). [17] Findlay, Steven. States Pass Record Number of Laws ...

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    • Authors: Traci Leigh Hughes, Gail Stone
    • Date: May 2021
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Global Perspectives; Health & Disability
  • Issue Brief: Changing Financial Risks for Medigap Insurance, Part 1
    Group COVID-19 Hospitalizations per 100,000 0–4 117 5–17 77 18–29 470 30–39 808 40–49 1,219 50–64 2,026 65–74 ... 2019 Spinal muscular atrophy $2.2M Zynteglo Aug. 17, 2022 Beta thalassemia $2.8M Skysona Sep. 16, 2022 ...

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    • Authors: Kristi Bohn
    • Date: Mar 2024
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health insurance
  • The Potential of Infra-Low Frequency Neurofeedback to Reduce Medical Claim Costs and Dramatically Improve Patients’ Lives
    Healthcare Solutions: covers unspecified neurofeedback[17] New Hampshire Celtic Insurance Company, owned by ... /policies/behavioral-policies/NV.CP.BH.300.pdf. [17] Anthem Blue Cross and Blue Shield, “Medical Policies ...

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    • Date: Jul 2023
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health insurance
  • Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2
    Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2 This is Part 2 of ... independent source for health policy research) at a May 17, 2023, Senate subcommittee hearing titled “Examining ...

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    • Date: Mar 2024
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health insurance; Public Policy; Public Policy
  • Incurred Health Claims:One Lag Report is Not Enough
    Incurred Health Claims:One Lag ... 0 0 1 10 /2 0 0 1 P re -N o v 0 0 6 ,5 17 ,3 77 0 0 0 0 0 0 0 0 0 0 0 0 11 /2 0 0 ... 0 0 0 5 /2 0 0 1 3 3 ,9 9 6 3 6 ,4 9 4 17 ,6 3 1 13 4 ,5 5 6 3 5 7, 0 2 1 6 6 7, 3 ...

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    • Authors: Henry Frantz
    • Date: Apr 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability; Modeling & Statistical Methods
  • Comparison of Risk Adjusters
    Issue No. 44 HEALTH SECTION NEWS | OCTOBER 2002 | 17 We recently finished a research projectthat compares ... SECTION NEWS COMPARISON OF RISK ADJUSTERS | FROM PAGE 17 Bob Cumming, FSA, MAAA, is principal with Mill ...

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    • Authors: Robert Cumming
    • Date: Oct 2002
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Possible Future of U.S. Healthcare
    disease accounting for 90 percent of health care costs,17 I have heard estimates that as much as 50 percent ... Journal of the Amer- ican Medical Association 318, no. 17. https://jamanetwork.com/journals/jama/ fullarticle/2661579 ...

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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