Announcement: SOA releases passing candidate numbers for May and June Exam FM.

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  • Session 040: Viruses: An Actuarial Perspective on Public Health Risks
    Session 040: Viruses: An Actuarial Perspective on Public Health Risks HIV is still a big public ... preventive care covered without cost share, actuaries will need to estimate the impact on their care cost.

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    • Authors: Rebecca Owen, Sara Teppema, Ya-Lin Huang, Brian Schwartz
    • Date: Jan 2020
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability; Health & Disability>Health care; Public Policy
  • Session 020: Provider Reimbursement and Mental Health Parity
    closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... NQTLs directly relate to plan’s payments to health care providers: • Coding Edits • UCR Determination ...

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    • Authors: Kristi Bohn, Rebecca Owen, Irvin Muszynski
    • Date: Jan 2020
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability; Public Policy; Health & Disability>Provider networks
  • Session 169: Risk Adjustment in Medicaid: Recent Developments
    Consulting Group in 2012 • Principal in Denver Office – Primary focus on Government Programs with emphasis on ... allocate capitated payments between contracted managed care organizations Source: ResDAC Medicaid Risk Adjustment ...

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    • Authors: Edward M Mailander, Daniel Henry
    • Date: Feb 2020
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability; Health & Disability>Payment models; Public Policy; Public Policy