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  • CSRs and Market Stabilization: What’s the Real Story?
    FPL 24% 150–200% FPL 17% 200–250% FPL 3% FEBRUARY 2018 HEALTH WATCH | 17 Nineteen State Attorneys ... reimbursements; spread evenly across all plans. 17 Silver Load Insurers load premiums to cover loss ...

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    • Authors: Dean Ratzlaff
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • ORSA 101 for Health Actuaries
    ” Health Affairs Blog, Nov. 17, http://healthaffairs.org/blog/2014/11/17/how-consumers-might-game-the-90-day- ... grace-period-and-what-can-be-done-about-it/, retrieved Feb. 17, 2016. 9 http://us.milliman.com/uploadedFiles/i ...

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    • Authors: Daniel Perlman, Douglas Norris
    • Date: May 2016
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks
  • Accountable Care Organizations: An Untapped Opportunity
    Accountable Care Organizations: An Untapped Opportunity Since health care reform has made accountable ... Health Affairs Blog, August 17, 2009, http://healthaffairs.org/blog/2009/08/17/the-accountable-care- or ...

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    • Authors: Jim Toole, Sara Teppema
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    comparison of 2018 and 2017 star rating data: • 17% of contracts are considered a “New Contract” in ... 2018 Overall Star Rating Distribution New Contract 17% Low Enrollment 7% 5 Stars 3% 4.5 Stars 11% 4 ...

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    • Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • The Evolution of the Individual Market (Part II)
    record levels.17 The beneficial changes have reignited insurer interest in ACA markets, with 17 percent ... ons.pdf (accessed December 21, 2018). 16 Ibid. 17 Fehr, Rachel, Cynthia Cox, and Larry Levitt. Individual ...

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    • Authors: Gregory Fann
    • Date: Mar 2019
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy
  • A Conversation with Alan Mills, ND, FSA
    work with giants Health Watch | January 2014 | 17 ContInUEd on pAge 18 of complexity science like ... Conversation with alan mills, ND, fSa … | from pagE 17 developed wonderful models of worldwide pan- demic ...

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    • Authors: Mary Moran
    • Date: Jan 2014
    • 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; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Modeling & Statistical Methods>Simulation
  • At the Intersection of Public Health and Actuarial Practice
    health information, improving living conditions, etc.”17 It’s the “etc.” where the nuance lies. Public Health ... countyhealthrankings.org/our-approach (accessed August 18, 2017). 17 Definition of Public Health for English Language ...

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    • Authors: Barbara Zabielski
    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Health & Disability>Health care; Health & Disability>Payment models; Public Policy; Social Insurance>Medicaid
  • Medicare Advantage Part C Revenue: Challenges Ahead
    timc@wakely.com. Health Watch | January 2013 | 17 bonus added a fixed percentage if a plan achieved ... pre-ACA. Medicare advantage part C … | froM page 17 In addition to the benchmark and rebate changes ...

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    • Authors: Timothy Courtney
    • Date: Jan 2013
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Health Watch
    • Topics: Public Policy
  • The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
    Service The 2012 Part D summary rating consists of 17 individual measures for a Medicare Advantage Prescription ... Prescription Drug (MAPD) plan and the same 17 measures for a PDP, which are categorized into four separate ...

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    • Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
    • Date: May 2012
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
  • Medicare Advantage—Future Benchmarks
    the meantime, via national conference call on Dec. 17, 2007, CMS announced that it would propose to rebase ... Health Watch MEDICARE ADVANTAGE ... | FROM PAGE 17 “Actuaries will play an important role. Our profession ...

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    • Authors: Application Administrator
    • Date: May 2008
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Health Watch
    • Topics: Public Policy; Social Insurance>Medicare