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  • 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

  • CSRs and Market Stabilization: What’s the Real Story?

    CSRs and Market Stabilization: What’s the Real Story? Argues that reinstatement of CSR (cost-sharing reduction) reimbursements by federal government will have destabilizing effect on individual ...

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    • Authors: Dean Ratzlaff
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance

  • 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

  • The Future of the Brazilian Health Market

    The Future of the Brazilian Health Market A discussion of the future of the Brazilian Health Market with a focus on the legislation which passed in June 1998 to regulate the private health ...

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    • Authors: Ronald Poon-Affat
    • Date: Sep 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

  • Medicare Advantage: Changes and Updates to enhanced benefits

    Medicare Advantage: Changes and Updates to enhanced benefits Discussion of recent laws and regulatory changes that have provided Medicare Advantage plans greater flexibility in benefit offerings ...

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    • Authors: Nicholas Johnson, Michael Polakowski
    • Date: Mar 2019
    • Competency: External Forces & Industry Knowledge; External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare

  • 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

  • Reforming Taiwan’s NHI with Managed Competition

    Reforming Taiwan’s NHI with Managed Competition Evaluation of Taiwan's National Health insurance program and a discussion of a managed competition model to reform it. Global markets;Health ...

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    • Authors: Chiu-Cheng Chang
    • Date: Sep 1998
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
    • Publication Name: International News
    • Topics: Economics>Health economics; Health & Disability>Health insurance; Public Policy; Public Policy

  • A Regulatory Perspective on Rate Review Before and After the Affordable Care Act

    A Regulatory Perspective on Rate Review Before and After the Affordable Care Act A Regulatory Perspective on Rate Review Before and After the Affordable Care Act Patient Protection and Affordable ...

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    • Authors: Annette James
    • 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

  • Health Care Reform: Essential Health Benefits and Actuarial Value

    Health Care Reform: Essential Health Benefits and Actuarial Value Essential Health Benefits and Actuarial Value Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care ...

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    • Authors: Catherine Knuth
    • 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
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