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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= ...

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    • 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
  • Loss Reserving in a Changing Environment
    provides an overview of the various methods of developing them, and analysis of the different reserve-development ... Surgical and Medical, Dental, Major Medical, and Comprehensive Major Medical. From the 1987 Record of Society ...

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    • Authors: Susan Comstock, Emil J Strug
    • Date: Apr 1987
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • 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= ...

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    • 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
  • Medicare + Choices: Impact of Self-Selection
    Medicare + Choices: Impact of Self-Selection Panelists discuss different aspects of self-selection among Medicare ... Medicare options. From the Record of the Society of Actuaries, Vol. 24, No. 2. Budgets;Chronic illness ...

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    • Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
  • Group Medical Expense Insurance - Prognostication
    Group Medical Expense Insurance - Prognostication Article from The Actuary, December 1975, Volume 9 ... 9, No. 10, discusses medical expense insurance. This article addresses the following questions: Why have ...

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    • Authors: Clayton A Cardinal
    • Date: Dec 1975
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health insurance
  • Vendor Comments to A Comparative Analysis of Claims-Based Tools for Health Risk Assessment
    A Comparative Analysis of Claims-Based Tools for Health Risk Assessment The Johns Hopkins ACG Team's ... comments regarding their participation in the Comparative Analysis of Claims-Based Tools for Health Risk Assessment ...

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    • Authors: Society of Actuaries
    • Date: May 2007
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Regression analysis
  • 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= ...

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    • 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
  • To Be Continued - Group Insurance Programs - Special Financing Arrangements
    Arrangements A discussion of funding arrangements that can reduce the costs of providing medical coverage through ... through lower reserves or state tax savings, instead of through cutting benefits. Funding policy;Premium ...

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    • Authors: Stephen Carter
    • Date: Jan 1978
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
    • Publication Name: The Actuary Magazine
    • Topics: Actuarial Profession>Best practices; Finance & Investments; Financial Reporting & Accounting>Tax accounting; Health & Disability>Health insurance
  • The Role of the Actuary in Self-Insurance Released
    The Role of the Actuary in Self-Insurance Released Announcement that the report of the Self-Insurance ...

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    • Authors: John Mange, Hobson Carroll
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • Alternative Provider Reimbursement Mechanisms
    reimbursement structures, from the facility/hospital perspective and the professional/doctor perspective ... risk-absorption methods. From the 1987 Record of Society of Actuaries, Vol. 13, No. 1. Medical expenses; 15948 ...

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    • Authors: Kenneth S Avner, Raymond Gladych, Harry L Sutton, Michael A Cadger, Marc S Engelhart
    • Date: Apr 1987
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance