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  • Is there currently an underwriting cycle?
    billion of net premiums written in 2010. There were 17 such Blues affiliates in this premium range, as ... I obtained the five-year history pages of these 17 plans’ annual statement filings in 2011, 2007 and ...

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    • Authors: Mark Shaw
    • Date: Jan 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Systematic risk; Health & Disability>Health insurance
  • ORSA 101 for Health Actuaries
    ” Health Affairs Blog, Nov. 17, http://healthaffairs.org/blog/2014/11/17/how-consumers-might-game-the-90-day- ... grace-period-and-what-can-be-done-about-it/, retrieved Feb. 17, 2016. 9 http://us.milliman.com/uploadedFiles/i ...

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    • 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
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    comparison of 2018 and 2017 star rating data: • 17% of contracts are considered a “New Contract” in ... 2018 Overall Star Rating Distribution New Contract 17% Low Enrollment 7% 5 Stars 3% 4.5 Stars 11% 4 ...

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    • 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
  • Chairperson’s Corner 2009 Health Section Initiatives
    Chairperson’s Corner 2009 Health Section Initiatives The Health Section chairperson discusses ... Washington Post had 10 percent, the New York Times 17 percent, and the Los Angeles Times 20 percent. A ...

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    • 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
  • Massachusetts Payment Reform from an Actuarial Perspective
    truncating large claims. Health Watch | May 2013 | 17 ContInUEd on page 18 The twin goals of the AQC ... Health Watch Massachusetts payment … | froM page 17 moved to network-based trends, the health status ...

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    • Authors: Matthew Day, Jill Wilson
    • Date: May 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Public Policy
  • The Evolution of the Individual Market (Part II)
    record levels.17 The beneficial changes have reignited insurer interest in ACA markets, with 17 percent ... ons.pdf (accessed December 21, 2018). 16 Ibid. 17 Fehr, Rachel, Cynthia Cox, and Larry Levitt. Individual ...

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    • Authors: Gregory Fann
    • Date: Mar 2019
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy
  • ASOPs, Anti- Selection, Affordability and ACA Altern
    security system.”12 NOVEMBER 2016 HEALTH WATCH | 17 Warnings and implications of adverse selection are ... income level for the same coverage for some plans,17 undoubtedly shifting the risk pool. In a free market ...

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    • Authors: Gregory Fann
    • Date: Nov 2016
    • Competency: Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Standards of practice; Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
  • Why so Many People Have Untreated Mental Health Conditions
    health issues.” I am not talking about only the one in 17 Americans who lives with a diagnosed serious mental ... mental health issue. JUNE 2018 HEALTH WATCH | 17 • Mental illness is associated with an increased ...

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    • Authors: Dawn Motovidlak
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • 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>Health risks; Health & Disability>Payment models
  • Enterprise Risk Management:One size does not fit all
    Analysis on SNL Data Health Watch | October 2012 | 17 company size. Exhibit 5 demonstrates that larger ... Health Watch enterprise risk management … | frOm page 17 equities. There does not appear to be a preferred ...

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    • Authors: Mark W Whitford
    • Date: Jan 2013
    • Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Health Watch
    • Topics: Annuities>Investment strategy - Annuities; Enterprise Risk Management>Portfolio management - ERM; Finance & Investments>Asset allocation; Finance & Investments>Asset liability management; Finance & Investments>Investments
  • Medicare Advantage risk scores – Are you competitive?
    Medicare Advantage risk scores – Are you competitive? What you need to know about risk scores to be ... findings include: OCTOBER 2018 HEALTH WATCH | 17 • The average number of HCCs varies meaningfully ...

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    • Authors: Corey Berger
    • Date: Oct 2018
    • Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare