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Wellness/Health Status
discussion is about the impact of wellness programs on medical plan experience/non-medical plan experience ... plans;Premiums;Risk categories=Risk classes;Risk measurement;Wellness; 15853 4/1/1986 12:00:00 AM ...- Authors: James C Modaff, David Ogden, Kevin McCarthy
- Date: Apr 1986
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks
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Better Care Through Understanding the Customer Not Just the Patient
As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical ... small fraction of their time in these facilities. This article explores what types of data are available ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; 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; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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The ACA’s Medical Loss Ratio Provisions: Looking Back
The ACA’s Medical Loss Ratio Provisions: Looking Back The ACA’s Medical Loss Ratio Provisions Patient ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...- Authors: Rowen Bell
- 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
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Quantifying Long Term Effects of COVID-19 on Health Care Costs
Long Term Effects of COVID-19 on Health Care Costs Through the sponsorship of the Robert Wood Johnson ... Foundation, The Society of Actuaries partnered with Wakely to use their health care data to study the effects ...- Authors: Society of Actuaries
- Date: Apr 2023
- Topics: Experience Studies & Data; Experience Studies & Data>Morbidity; Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Experience Studies & Data>Rate calculations; Health & Disability>Claims - Health & Disability
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Wall of Comments
Wall of Comments A compilation of feedback from actuaries in the Health Section of the affects of the ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...- Authors: Society of Actuaries
- 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
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The Role of the Affordable Care Act in Payment Reform
The Role of the Affordable Care Act in Payment Reform Affordable Care Act and Payment Reform Patient ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...- Authors: Juliet Michelle Spector
- 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
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Visions for the Future of the U.S. Health Care System - The Other Side of the Coin
Visions for the Future of the U.S. Health Care System - The Other Side of the Coin An essay suggesting ...- Authors: Application Administrator
- Date: Jun 2009
- Competency: Communication>Persuasive communication; Communication>Written communication; Leadership>Influence; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Reinsurance>Stop-loss insurance
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The Application of Fuzzy Sets to Group Health Underwriting
The Application of Fuzzy Sets to Group Health Underwriting In this paper, fuzzy sets - collections of ... of objects whose boundaries are not precisely defined - are used to model the selection process in group ...- Authors: Virginia Ruth Young
- Date: Oct 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks
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Taxes and Fees Introduced by the ACA
Taxes and Fees Introduced by the ACA Taxes and Fees Introduced by the ACA Patient Protection and Affordable ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...- Authors: Michael Gaal
- 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
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Health Watch, June 2017, Issue 83
Health Watch, June 2017, Issue 83 Read the June 2017 issue of Health Watch, published by the ... June 2017, Issue 83 Read the June 2017 issue of Health Watch, published by the Health Section. Practical ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- 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