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Risk Corridors under the Affordable
Risk Corridors under the Affordable The Affordable Act's risk corridor program is a temporary feature ... to protect insurers against pricing uncertainty, the program appears straightforward but has many subtle ...- Authors: Douglas Norris, Mary Kindel Van der Heijde, Johann Leida
- Date: Oct 2013
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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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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Section 1332 Waivers: Coming Soon to a State Near You?
marketplace requirements of the Patient Protection and Affordable Care Act. The article focuses on specific ... states and the role that actuaries will play. Patient Protection and Affordable Care Act= PPACA=Affordable ...- Authors: Gregory Fann
- Date: May 2016
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; 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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ACA Exchange Initiatives Program Interview
Interview The interview discusses the ACA exchange intiatives program, a strategic project of the SOA focusing ... actuarial principles Patient Protection and Affordable Care Act;Strategic Risks 6442475095 3/1/2017 12:00:00 ...- Authors: Kurt Wrobel
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Exchanges This article compares the Prescription Drug Plan (PDP) market to the commercial individual market ... in the Affordable Care Act. PDP carrier actions to date could help predict certain aspects of the exchange ...- Authors: Shelly Brandel
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
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Commercial Health Care: What’s Next?
Commercial Health Care: What’s Next? This article contains excerpts from the first three articles that ... through the strategic initiative - Commercial Health Care: What’s Next? health policy;Health care reform;gender ...- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model As ... providers are considering accountable and value based care models, it is critical to strategically think through ...- Authors: Mark Bethke, James M Whisler, Amanda Holland
- Date: May 2013
- Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy
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Health Enables Wealth
Mental health spending has reached $147 billion in the United States with demand only increasing greatly ... indirect costs associated with mental health causing a national crisis surpassing 1 percent of the GDP. These ...- Authors: Rich Gengler, Irving Steel, Stevan Hobfoll
- Date: May 2016
- Competency: Leadership>Thought leadership; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health information technology; Health & Disability>Health insurance; Public Policy; Public Policy