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Early Findings from the ACA's Medicaid Expansion
Expansion Analysis of data from three Medicaid managed care plans examines enrollment and cost trends for newly ... Retention;Medicaid ;Claim experience;Managed care;Patient Protection and Affordable Care Act 6442484882 10/1/2018 12:00:00 ...- Authors: Richard Marko, Sabrina Gibson, Joshua Kuai, Mitchell Cole
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicaid
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Assessing Prescription Opioid Risk with Predictive Analytics
Assessing Prescription Opioid Risk with Predictive Analytics We highlight a new approach leveraging ... users for more effective screening and follow-up care. Predictive modeling;Health risks;Data mining=Big ...- Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
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Letter from the Editor
and their families, all the players in the health care mar- ket because of increased costs, across all ... have gained health care coverage due to Medicaid expansion under the Affordable Care Act (ACA). In the ...- Authors: JoAnn Bogolin
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Exploring New Actuarial Ideas and Applications through Research
and Their Relationship with the Cost of Health Care, serves as a resource used by health actuaries ... continues to invest in necessary health care, long-term care and retirement research, from longevity ...- Authors: R. Dale Hall
- Date: Feb 2016
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Academic partnerships; Demography>Longevity; Technology & Applications>Analytics and informatics
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The Far East: Stepping Up
interest rate risks. Consider China, for example. Direct life premiums in 2014 were USD $177 billion,6 ... such as hedge funds, private equity funds and direct investments into infrastructure projects. Many ...- Authors: Frederick Yiu Fai Ngan, Eric Alan Forgy, Michael Kwan Yu Chan
- Date: Feb 2016
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: The Actuary Magazine
- Topics: Finance & Investments>Asset liability management; Finance & Investments>Investments
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Hedge Your Bets
Hedge Your Bets Insurance companies use derivatives to manage and mitigate risks that are inherent ... highly sensitive to supply/demand balance. The primary tools used by insurers in 2014 were put options ...- Authors: Aymeric Kalife, Saad Mouti
- Date: Feb 2016
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: The Actuary Magazine
- Topics: Enterprise Risk Management>Risk appetite; Finance & Investments>Derivatives
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CyberRisk is Oppurtunity
resents opportunity for actuaries. PART 1: RISK Direct losses resulting from profit-motivated cybercrimes ... low—approximately $2 billion to 3 billion per year—while direct and indirect costs of such crimes are very high ...- Authors: Society of Actuaries, Michael Ian Solomon
- Date: Dec 2016
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Risk Management
- Topics: Enterprise Risk Management
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Risk/Return, a Chimera?
Risk/Return, a Chimera? Is Risk/Return a sound tool for decision-making? No. It is not consistent, ... invest only till the end of the year, then I do not care about the fact that, in the long run, the stock ...- Authors: Society of Actuaries, Sylvestre Frezal
- Date: Dec 2016
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Risk Management
- Topics: Enterprise Risk Management; Finance & Investments>Asset allocation
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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 ...- 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