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Recent Developments in the Health Care Market
Recent Developments in the Health Care Market Provides an overview of developments in the healthcare market including provider billing practices. Provides an overview of the Government Finance ...- Authors: Michael Frank
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
- Publication Name: Small Talk
- Topics: Health & Disability>Health insurance; Health & Disability>Provider networks
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Session 007: Medicare Part D Accruals: Modeling and Financial Considerations
Session 007: Medicare Part D Accruals: Modeling and Financial Considerations After the bid process, desk review, rebate reallocation, an “enjoyable” audit, and open enrollment; the Medicare plan ...- Authors: Samuel Bennett, Adrian L Clark, Jonathan Hendrickson
- Date: May 2019
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance
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Session 008: Best Practices in Risk-Based Contracts
Session 008: Best Practices in Risk-Based Contracts More and more providers are desiring risk-based contracts instead of traditional FFS-based contracts. This session is intended to outline some ...- Authors: Traci Leigh Hughes, Daniel Santmyer, Joseph Dean Heintzelman , Michael Goran, Jennifer Leazzo
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Consumers to the Rescue? A Primer on HDHPs and HSAs
Consumers to the Rescue? A Primer on HDHPs and HSAs This article examines the history, theory, and effectiveness of high-deductible health plans and health savings accounts. Consumer driven ...- Authors: Fritz Busch, Barbara Collier, Jason Karcher , Steven Phillips
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
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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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Session 077: Medicaid Risk Adjustment: Understanding State Specific Design & Application for Effective Program Management
Session 077: Medicaid Risk Adjustment: Understanding State Specific Design & Application for Effective Program Management This session will explore the national landscape of state Medicaid ...- Authors: Zachary Aters, Suzanna-Grace Sayre
- Date: Jul 2019
- Competency: Results-Oriented Solutions
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models
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Session 091: Medicaid Margin Assumptions - Opening the Black Box
Session 091: Medicaid Margin Assumptions - Opening the Black Box In Medicaid rate development, actuaries have not historically shared models that developed the margin (i.e., underwriting gain) ...- Authors: Sabrina Gibson, Michelle L Raleigh, James Randolph Piekut, Jaredd Martin Keith Simons
- Date: May 2019
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Forecasting
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Session 075: Small Group Strategies for non-ACA Products
Session 075: Small Group Strategies for non-ACA Products A review of strategies for non-ACA products for small employers including level-funded plans, association health plans (AHPs), and ...- Authors: Karan Rustagi, Thomas Joseph Garrity, Nicholas Calenti
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health insurance
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Health Section, Issue 88, February 2019, Health Watch
Health Section, Issue 88, February 2019, Health Watch Health Section, Issue 88, February 2019, Health Watch Health Watch 3/11/2019 12:00:00 AM ...- Authors: Society of Actuaries
- Date: Mar 2019
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Session 115: Data-Driven Explorations in Healthcare Credibility
Session 115: Data-Driven Explorations in Healthcare Credibility This session will explore the various methods of determining the credibility levels that are given to various size employer groups ...- Authors: Bryan Wayne Kassing , Michelle Elsie Roark, Timothy James Ryan
- Date: May 2019
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Credibility theory