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  • Creating Value through Integrated ERM for Health Care Insurers in Europe

    Creating Value through Integrated ERM for Health Care Insurers in Europe The paper focuses on value creation for European health insurance companies through the practical application of ...

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    • Authors: George C Orros
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Topics: Enterprise Risk Management>Financial management; 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
  • Can't win for losing

    Can't win for losing The winner's curse, applied to Affordable Care Act plan pricing. strategic risks;health insurance;health risks;Group health plans 6442463168 7/1/2015 12:00:00 ...

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    • Authors: Douglas Norris
    • Date: Jul 2015
    • Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks
  • Impressions of a U.S. Health Actuary Working in Brazil

    Impressions of a U.S. Health Actuary Working in Brazil An interview with a health insurance expatriate actuary working in Brazil, discussing his experiences and the health insurance market in ...

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    • Authors: Ronald Poon-Affat
    • Date: Jun 1999
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: International News
    • Topics: Global Perspectives>Expatriate experience; Health & Disability>Health insurance
  • Why Everyone Hates HMOs

    Why Everyone Hates HMOs Article compares HMOs to other one stop non-health corporations that have gone away and states still in existance only due to forced government regulation, Issue No. 39.

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    • Authors: Gerry Smedinghoff
    • Date: Dec 2000
    • Competency: Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • MACRA Ramifications to Medicare Supplement

    MACRA Ramifications to Medicare Supplement The article describes the changes to payment structures as of 1/1/2017 and their influence to Medicare Supplement that will be happening as of 1/1/2020.

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    • Authors: Marilyn Medved McGaffin
    • Date: Nov 2016
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • The Sustainability of the New American Entitlement: Actuarial Values and the ACA

    The Sustainability of the New American Entitlement: Actuarial Values and the ACA The article discusses the sustainability of the ACA individual market from a public entitlement standpoint. A key ...

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    • Authors: Gregory Fann
    • Date: Sep 2016
    • Competency: Communication>Difficult message delivery; Communication>Persuasive communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Change management; Leadership>Influence; Leadership>Thought leadership; Professional Values>Ethical standards; Professional Values>Practice expertise; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: In The Public Interest
    • Topics: Economics>Behavioral economics; Economics>Financial markets; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability
  • The Evolution of the Individual Market (Part II)

    The Evolution of the Individual Market (Part II) Part II of a two-part series discussing individual market evolution from before the ACA through President Trump's first term. Individual ...

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    • Authors: Gregory Fann
    • Date: Mar 2019
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy
  • Medicare Advantage Star Ratings: Expectations for New Organizations

    Medicare Advantage Star Ratings: Expectations for New Organizations This article makes organizations entering the MA market aware of the star rating climate, as well as short- and long-term star ...

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    • Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • Human Nature and the US Health Care System, Part I

    Human Nature and the US Health Care System, Part I The third in a series of four articles that illustrate the “soft” approach of game theory using Thucydides’ master work, The History of the ...
    • Authors: Carlos Eduardo Fuentes
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>General business skills; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Innovators & Entrepreneurs
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance