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A Summary of the Updated Medical Loss Ratio Methodology and Historical Results
A Summary of the Updated Medical Loss Ratio Methodology and Historical Results This is a brief report that summarizes recent changes in the prevalent medical loss ratio methodologies and also ...- Authors: Society of Actuaries
- Date: Dec 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA)
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Recent Developments in the Health Care Market
Summary of a presentation made by the author to the Government Finance Officer’s Association (GFOA) in New York on December 2018. This included an overview of the health insurance market ...- Authors: Michael Frank
- Date: Feb 2019
- Competency: Communication; External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: General Insurance (Property & Casualty)>Claims - General Insurance; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Life Insurance>Claims - Life Insurance; Long-term Care>Public financing - Long-term Care; Health & Disability>Affordable Care Act (ACA)
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A Summary of the Updated Medical Loss Ratio Methodology and Historical Results
A Summary of the Updated Medical Loss Ratio Methodology and Historical Results This is a brief report that summarizes recent changes in the prevalent medical loss ratio methodologies and also ...
- Authors: Society of Actuaries
- Date: Dec 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA)
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MACRA/QPP Provider Revenue Model
MACRA/QPP Provider Revenue Model The MACRA/QPP Provider Revenue Model is designed to provide an estimate of the revenue impact of the QPP (MIPS, AAPM) on a provider group or ACO, based on the ...- Authors: Julie Witt
- Date: Sep 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care quality; Health & Disability>Affordable Care Act (ACA); Health & Disability>Provider risk
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MACRA/QPP Payer Revenue Model
MACRA/QPP Payer Revenue Model The MACRA/QPP Payer Revenue Model is designed to provide Health Plans an estimate of the expected claim cost increase/decrease due to MACRA. Healthcare quality, ...- Authors: Julie Witt
- Date: Sep 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models; Modeling & Statistical Methods; Health & Disability>Affordable Care Act (ACA)
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Health Plan Strategic Implications of MACRA
Health Plan Strategic Implications of MACRA The SOA is pleased to make available a research report providing insight and considerations for the actuarial profession in assessing the potential ...
- Authors: Society of Actuaries
- Date: Aug 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Affordable Care Act (ACA)
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Health Plan Strategic Implications of MACRA
Health Plan Strategic Implications of MACRA The SOA is pleased to make available a research report providing insight and considerations for the actuarial profession in assessing the potential ...- Authors: Julie Witt, James Dolstad, Eric Carl McKeeman, Betty Siu
- Date: Aug 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Affordable Care Act (ACA)