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  • Surprises in the No Surprises Act: An Interview with Greg Fann (Part 2)

    Surprises in the No Surprises Act: An Interview with Greg Fann (Part 2) This article is an update on the No Surprises Act, which is a U.S. Act aimed to reduce the risk that a person unexpectedly ...

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    • Authors: Kristi Bohn
    • Date: Nov 2024
    • Competency: Communication; External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health insurance; Public Policy; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks

  • Whats going on here anyway?

    Whats going on here anyway? A Discussion of why female mortality is higher than male mortality at higher ages. Actual-to-expected=A/E=Actual to expected;Claim experience;Contingencies;Death ...

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    • Authors: John M Bragg
    • Date: May 2016
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Pension Section News
    • Topics: Actuarial Profession>Professional development; Demography>Gender factors; Demography>Longevity; Experience Studies & Data>Disability; Experience Studies & Data>Long-term care - Experience Studies & Data; Experience Studies & Data>Morbidity; Experience Studies & Data>Mortality; Health & Disability>Disability insurance; Health & Disability>Health care; Health & Disability>Health information technology; Health & Disability>Health insurance; Pensions & Retirement>Plan design

  • Strategies for Leveraging the ACA Risk Adjuster

    Strategies for Leveraging the ACA Risk Adjuster This article begins with a comparison of the commercial risk adjuster to the exisiting Medicare model, and goes on to discuss why the existing ...

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    • Authors: Jason Siegel
    • Date: Oct 2013
    • Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks

  • Building Actuarial Cost Models From Health Care Claims Data

    Building Actuarial Cost Models From Health Care Claims Data Using Healthcare Claims Data to Create Actuarial Models. Business intelligence;Data mining=Big data;Managed care 6442476744 6/1/2017 12 ...

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    • Authors: William Bednar
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence

  • Up Front with the SOA Staff Fellow

    Up Front with the SOA Staff Fellow Joe Wurzburger, Staff Fellow at the SOA, shares his views and insights about the health care industry in general and the Health Section's role in ...

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    • Authors: Joseph Wurzburger
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance

  • Brazilian Health Industry

    Brazilian Health Industry A discussion of the Brazilian Health Industry Claims processing;Currency risk;Global markets;Government-funded healthcare;Group health plans;Health insurance;Health ...

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    • Authors: Ronald Poon-Affat
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: International News
    • Topics: Health & Disability>Health insurance; Public Policy

  • An Example of Evolution of Health Plans in Panama

    An Example of Evolution of Health Plans in Panama A discussion of how health insurance is evolving in Panama from indemnity type plans to managed care plans. Health care costs;Managed care; 32291 ...

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    • Authors: Concepcion Moreno
    • Date: Feb 2004
    • Competency: External Forces & Industry Knowledge
    • Publication Name: International News
    • Topics: Health & Disability>Health insurance

  • The CLASS Act and its Aftermath

    The CLASS Act and its Aftermath CLASS Act and ACA Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care ...

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    • Authors: Robert Yee
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability

  • Medical Stop-Loss: A Multiyear Design

    Medical Stop-Loss: A Multiyear Design This article discusses a multiyear design for stop-loss reinsurance used by employers offering self-funded medical benefit programs. Catastrophe reinsurance; ...

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    • Authors: John Dawson
    • Date: Aug 1998
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Reinsurance News
    • Topics: Actuarial Profession>Alternative careers; Health & Disability>Health insurance

  • Proposed Regulations Refine "Net Premiums Written"

    Proposed Regulations Refine "Net Premiums Written" Provides a summary of recent proposed regulations for the health insurer fee, section 9010 of the Affordable Care Act (ACA).

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    • Authors: Jean Baxley
    • Date: Jun 2017
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Taxing Times
    • Topics: Health & Disability>Health insurance
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