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New Managed Care Risk-Based Capital
New Managed Care Risk-Based Capital Managed Care Risk-Based Capital new formula for HMOs and BCBS plans ... use of RBC Issue No. 37. Long-term care insurance=LTCI;Managed care;Risk-based capital=RBC;Stop-loss insurance; ...- Authors: Donna C Novak
- Date: Apr 2000
- Competency: External Forces & Industry Knowledge>Internal forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks
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Selling Health Insurance Across State Lines
Selling Health Insurance Across State Lines Discusses various aspects of allowing a ... policy;individual health plans;Health care reform;Patient Protection and Affordable Care Act 6442476750 6/1/2017 ...- Authors: Lawrence Mitchell
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Internal forces and business performance; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Cost and Benefit Trends Observed in Jan. 1, 2011 Renewals for State Employers
Cost and Benefit Trends Observed in Jan. 1, 2011 Renewals for State Employers An analysis of health ... from state employee medical plan renewals. Health care costs;Premiums; 25710 1/1/2011 12:00:00 AM ...- Authors: Robert Gordon Cosway, Barbara Dewey
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Internal forces and business performance; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data; Technology & Applications>Analytics and informatics
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Reasons to Reconcile
income statement for the base year should be the primary source that the data used in pricing should reconcile ... BPTs. For Part D, the revenue is comprised of the direct subsidy, the low- income premium subsidy and the ...- Authors: Gregory Sgrosso
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Internal forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Medicare Advantage Star Ratings: Expectations for New Organizations
traditional FFS Medicare Part A (hospital and long- term care services) and Part B (outpa- tient and professional ... Prescription Drug Plans (PDPs), Program of All- Inclusive Care for the Elderly (PACE) plans, Cost plans, Medicare- ...- 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
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ORSA 101 for Health Actuaries
And those of us whose work is touched by health care reform tend to spend a lot of our time reading ... the risk from under- pricing in the Affordable Care Act (ACA) markets in 2014 may be modest. Separately ...- 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