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  • Back to School: Student Health Insurance Plans (SHIP)
    uncertainty continues to circulate about the Affordable Care Act (ACA), the Student Health Insurance Plan (SHIP) ... risks;Patient Protection and Affordable Care Act = PPACA = Affordable Care Act = ACA;Product development;Student ...

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    • Authors: Nickolas Ortner, Alan Shulman
    • Date: Nov 2018
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks
  • Session 26PD: MA-PD Market: Entry and Expansion
    there “must-have” providers (hospitals, IPAs, Primary care groups etc…) Plan Types. General Enrollment ... Supplemental files – chart chases  Why does the provider care?  Trouble getting charts – could affect RADV audit ...

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    • Authors: Society of Actuaries, Audrey L Halvorson, Jonathan Hendrickson
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration
    • Topics: Health & Disability>Health insurance
  • Health Predictive Analytics Seminar
    Health Predictive Analytics Seminar The Health Predictive Analytics Seminar is an interactive, ... models developed by analysts. Health, Long Term Care Insurance and Modeling Section members will also ...

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    • Authors: Society of Actuaries, Ian G Duncan, Sreenivas Konda
    • Date: Mar 2018
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Analytics and informatics
  • Session 8 Lecture: Future of Medicare Advantage: Trends of an Expanding Market
    typical MA-PD plan? • Coordinating Care • Network Access and care management • Trends in the Industry ... Medicare-FFS benefits • Formulary designs • Focus on Care Coordination • Challenges for Insurers Chronic ...

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    • Authors: Society of Actuaries, Haitham Aly, David Hayes, Gregory Sgrosso
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare