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Early Findings from the ACA's Medicaid Expansion
Findings from the ACA's Medicaid Expansion Analysis of data from three Medicaid managed care plans examines ... examines enrollment and cost trends for newly eligible enrollees under the ACA's Medicaid expansion. Retention;Medicaid ...- 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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Accountable Care Organizations: An Untapped Opportunity
Accountable Care Organizations: An Untapped Opportunity Since health care reform has made accountable ... accountable care organizations a hot topic, an SOA workgroup is addressing relevant questions, including provider ...- 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
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Considerations for Surplus Determination under ACA
Considerations for Surplus Determination under ACA Discussion of the impact of the ACA on RBS and required surplus ... capital=RBC;Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform 6442454842 5/1/2014 ...- Authors: Daniel Pribe, Richard Tash, David M Tuomala
- Date: May 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal ... accountable care organizations. Capitations would be risk-adjusted, non-capitated costs would be covered ...- Authors: Mark Florian
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance
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Visions for the Future of the U.S. Health Care System - Health Reform, American Style
Visions for the Future of the U.S. Health Care System - Health Reform, American Style Essay offers a ... a vision of health care where everyone is covered, everyone is eligible, receives fair pricing, receives ...- Authors: Hobson Carroll
- Date: Jun 2009
- Competency: Communication>Persuasive communication; Communication>Written communication; Leadership>Influence; Leadership>Thought leadership
- Topics: Health & Disability>Health care; Long-term Care>Medical expenses; Public Policy; Reinsurance; Reinsurance>Coinsurance; Reinsurance>Pricing - Reinsurance; Social Insurance>Medicaid; Social Insurance>Medicare
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The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death!
The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death! A ... A proposal to reform the health care provider payment system through: a national fee schedule, shifting ...- Authors: John Dante
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Public Policy
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Transparency Leads Actuarial Survey of Trend-Benders
Actuarial Survey of Trend-Benders Summary of results of a 2010 Health Section survey of actuaries and Medicare ... Medicare population, on ways to bend the cost trend curve downward. Issues included transparency, quality ...- Authors: Sara Teppema
- Date: Sep 2010
- Competency: Communication; Leadership>Professional network leverage; Leadership>Thought leadership; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Public Policy; Public Policy
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PPACA Heats Up Actuaries in Orlando: A Tour of the SOA ’10 Health Meeting
in Orlando: A Tour of the SOA ’10 Health Meeting A report on the proceedings of the June 2010 SOA health ... topics included health care reform, opportunities to expand actuaries' roles, the global financial crisis ...- Authors: Douglas Norris
- Date: Sep 2010
- Competency: Communication; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Professional associations; Economics>Health economics; Public Policy
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Visions for the Future of the U.S. Health Care System - Health Care Reform: What Problems Can We Realistically Solve?
Visions for the Future of the U.S. Health Care System - Health Care Reform: What Problems Can We Realistically ... low cost health care. Health care costs;Health care reform;Health insurance;Managed care; 7387 6/1/2009 ...- Authors: Application Administrator
- Date: Jun 2009
- Competency: Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Chairperson’s Corner 2009 Health Section Initiatives
Initiatives The Health Section chairperson discusses the past year's activity, especially the Visions ... Visions for the Future of the U.S. Health Care System essay contest, and an update on the Untapped Opportunities ...- Authors: Jennifer Gillespie
- Date: Sep 2009
- Competency: Communication>Written communication; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Actuarial Profession>Traditional careers; Public Policy; Public Policy