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Recommendations for a Successful ACA Rate Filing
Recommendations for a Successful ACA Rate Filing Summary of common mistakes made by actuaries developing ACA ... Suggests Peer Review process. Health insurance;Affordable Care Act;Rate regulation 6442471998 11/1/2016 12:00:00 ...- Authors: Joseph Slater
- Date: Nov 2016
- Competency: Communication>Difficult message delivery; Communication>Oral communication; Communication>Persuasive communication; Communication>Written communication; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Health & Disability>Health insurance; Public Policy
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Health Watch Issue 73, October 2013
Health Watch Issue 73, October 2013 The entire issue of Health Watch. Health ... October 2013 The entire issue of Health Watch. Health care costs;Health care quality;Health care reform;Medicaid;Medicare ...- Authors: Karen Perry, Society of Actuaries
- Date: Oct 2013
- Competency: Results-Oriented Solutions>Actionable recommendations
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Health Watch, Issue 72, May 2013
Health Watch, Issue 72, May 2013 May 2013 issue of the Health Watch newsletter Health ... 2013 issue of the Health Watch newsletter Health Care Costs;Health Care Quality;Health Care Reform;Medicaid;Medicare ...- Authors: Society of Actuaries
- Date: May 2013
- Competency: Results-Oriented Solutions>Actionable recommendations
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Self-Insurance Strategic Initiative Report
monograph explains the ways actuaries are or could be involved in the self-insured employer health plan ... plan marketplace today and in the future. Health insurance 6442482694 6/11/2018 12:00:00 AM ...- Authors: Society of Actuaries, John Mange, Kristi Bohn, Hobson Carroll, Michael A Kemp, Mehboob Khoja, David E Olsho, Shaun Peterson, Nicholas Sarneso, Brent Seiler, Joseph Slater, Dustin Tindall, David Wilson, Gregory J Sullivan
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Results-Oriented Solutions>Actionable recommendations
- Topics: Health & Disability>Health insurance
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Navigating Cost-Sharing Reduction Subsidy Defunding
Navigating Cost-Sharing Reduction Subsidy Defunding This paper will examine why CSR defunding ... price 2020 premiums. Patient Protection and Affordable Care Act, Rate regulation, Individual health plans ...- Authors: Michael Cohen, Peter van Laarhoven
- Date: Mar 2019
- Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy
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Trends In Medical Benefit Plan Design To Control Claim Costs
Benefit Plan Design To Control Claim Costs This session addressed the following regarding benefit plan design ... design to control claim costs: What has been tried? What works? and What else can be tried? Antiselection;Claims ...- Authors: Application Administrator, Peter B Hutzel, Jerry E Lusk, James Miles
- Date: May 1982
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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The Alternative to the Medical Scheme Model for Africa
The Alternative to the Medical Scheme Model for Africa The medical scheme approach adopted by several ... several African countries has failed to meet the needs of those in informal employment and rural communities ...- Authors: Kudzai Chigiji
- Date: Jan 2016
- Competency: Communication>Persuasive communication; Leadership>Influence; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: International News
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
Quality This article describes the results of three years of work by Blue Shield of California to collaborate ... populations in targeted geographies. Accountable care organizations = ACO;Guaranteed minimum withdrawal ...- Authors: Edward Cymerys
- Date: May 2013
- Competency: Relationship Management>Relationships and trust; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Payment models
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An Actuarial Model to Improve Health and Reduce Costs
An Actuarial Model to Improve Health and Reduce Costs An actuarial model that provides financial incentives ... disease and reduce health care costs Health care costs;Health care reform;Health care quality;Chronic illness ...- Authors: Ken Beckman
- Date: Oct 2017
- Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Health Watch, Issue 79, December 2015, Health Watch
Research;Cause-of-death mortality;Disability;Presenteeism;Absenteeism;Smoking and mortality;health care reform;actuarial ... reform;actuarial standards of practice;Regression analysis;Predictive modeling;Modeling efficiency;Product ...- Authors: Society of Actuaries
- Date: Dec 2015
- Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Professional Values>Ethical standards; Relationship Management>Team leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; 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: Experience Studies & Data>Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science