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  • Commercial Healthcare: What's Next

    Commercial Healthcare: What's Next A new initiative, Commercial Health Care: What’s Next, will focus on education and research for health actuaries regarding issues that remain with the ...

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    • Authors: David Dillon, Elaine Corrough
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy

  • From The Associate Editor

    From The Associate Editor Cover article introducing this month's newsletter and discussing the highlights of the contents of the newsletter Global markets;Government-funded healthcare; 9586 ...

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    • Authors: Application Administrator
    • Date: Jul 2010
    • Competency: External Forces & Industry Knowledge
    • Publication Name: In The Public Interest
    • Topics: Public Policy; Social Insurance

  • Navigating Cost-Sharing Reduction Subsidy Defunding

    Navigating Cost-Sharing Reduction Subsidy Defunding This paper will examine why CSR defunding produces pricing uncertainty and how regulators can alleviate these risks when insurers price 2020 ...

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    • Authors: Michael Cohen, Peter van Laarhoven
    • Date: Mar 2019
    • Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy

  • Health Care System Reform Made in China

    Health Care System Reform Made in China The author provides an overview of the Chinese health care system from its beginnings in in 1949 to the present day launching of the most comprehensive ...

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    • Authors: Davout Yean
    • Date: Aug 2011
    • Competency: External Forces & Industry Knowledge
    • Publication Name: International News
    • Topics: Public Policy

  • The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death!

    The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death! A proposal to reform the health care provider payment system through: a national fee schedule, ...

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    • Authors: John Dante
    • Date: Sep 2010
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Public Policy

  • The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries

    The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries Explanation of Medicare Advantage STAR rating program as it relates to payment rates for MA bids. Also describes ...

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    • Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
    • Date: May 2012
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy

  • Recommendations for a Successful ACA Rate Filing

    Recommendations for a Successful ACA Rate Filing Summary of common mistakes made by actuaries developing ACA rate filings. Outlines correct approach to ACA rate filing process. Suggests Peer ...

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    • Authors: Joseph Slater
    • Date: Nov 2016
    • Competency: Communication>Difficult message delivery; Communication>Oral communication; Communication>Persuasive communication; Communication>Written communication; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Health & Disability>Health insurance; Public Policy
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