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  • ACA Hot Topics
    ACA Hot Topics Update on Affordable Care Act topics, including Section 1332 waivers, Association Health ...

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    • Authors: Kristi Bohn
    • Date: Jul 2019
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans
  • Underwriting Gain in Managed Medicaid: Starting the Conversation
    Underwriting Gain in Managed Medicaid: Starting the Conversation According to the Actuarial ... 49 (ASOP 49), actuarially sound Medicaid managed care capitation rates will include a provision for underwriting ...

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    • Authors: Jaredd Martin Keith Simons, James Randolph Piekut
    • Date: Nov 2019
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Modeling & Statistical Methods; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Scenario generation; Modeling & Statistical Methods>Simulation
  • 2019 Spring Health Meeting In Review
    Academy of Actuaries. Used with permission. The primary drafter of this publication is Academy Senior Health ... strengthen insurance markets under the Afford- able Care Act (ACA) or to replace the ACA marketplaces and/or ...

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    • Authors: Rick S Pawelski
    • Date: Nov 2019
    • Competency: External Forces & Industry Knowledge; Professional Values; Relationship Management; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Actuarial Profession; Actuarial Profession>Professional development
  • Provider Risk-Sharing and Random Noise
    infrastructure. Pricing actuaries will need to estimate the direct effect of random fluctuations, the indirect effect ... Some- times Shi– Accountability to HMOs. Managed Care, Dec. 1, 2000. https://www .managedcaremag.com ...

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    • Authors: Thomas Messer
    • Date: Jul 2019
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Provider networks; Health & Disability>Provider risk
  • 2019 Spring Health Meeting In Review
    disruption, artificial intelli- gence and health care in order to peek behind the curtain at where things ... kio’s connection of this scenario to the health care industry was the emergence, slower than in many ...

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    • Authors: Rick S Pawelski
    • Date: Oct 2019
    • Competency: External Forces & Industry Knowledge; Professional Values; Relationship Management; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Actuarial Profession; Actuarial Profession>Professional development