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  • 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
  • Session 033: Regulatory Roundtable

    Session 033: Regulatory Roundtable Insurance commissioners and/or deputy commissioners will discuss a variety of current topics including health care reform, risks in the major medical markets, ...

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    • Authors: David Dillon, Laura Arp , Kendall Buchanan, Erin H. Klug
    • Date: May 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health insurance; 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
  • Commercial Health Care: What’s Next? A Health Section Strategic Initiative

    Commercial Health Care: What’s Next? A Health Section Strategic Initiative The Health Section's strategic initiative entitled Commercial Health Care: What’s Next? focuses on health care ...

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    • Authors: David Dillon
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Public Policy; Public Policy
  • 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