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  • Critical Illness Turns 40!

    Critical Illness Turns 40! This article provides an overview of critical illness insurance: history, product description, and the three primary ways to offer critical illness coverage in the ...

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    • Authors: Jennifer Howard, Ashlee Borcan
    • Date: Sep 2023
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Experience Studies & Data; Experience Studies & Data>Morbidity; Health & Disability; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Experience Studies & Data>Rate calculations; Health & Disability>Incidence; Health & Disability>Rates - Health & Disability; Health & Disability>Termination - Health & Disability
  • intro-medicare-advantage-revenue

    "This video by Danika Turner is an introduction to Medicare Advantage revenue, specifically focusing on how Part C revenue works for individual Medicare Advantage plans. It explains how health ...

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    • Date: Nov 2024
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Health risks
  • Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2

    Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2 Discover the key components of value-based care (VBC) contracts and their impact on provider ...

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    • Authors: Maria Knox, James Pisko, Keith Passwater
    • Date: May 2023
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
  • Issue Brief: Changing Financial Risks for Medigap Insurance, Part 1

    Issue Brief: Changing Financial Risks for Medigap Insurance, Part 1 During the past few years, performance, cost, and risk trends for Medigap products have undergone substantial changes. Some of ...

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    • Authors: Kristi Bohn
    • Date: Mar 2024
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health insurance
  • Biosimilars, Part 3: Humira Biosimilar Launches

    Biosimilars, Part 3: Humira Biosimilar Launches The big event of 2023 is the launch of multiple Humira biosimilars, which began in January with the arrival of Amgen’s Amjevita on the market. The ...

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    • Authors: Tony Pistilli, Greg Warren
    • Date: Nov 2023
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Public Policy
  • A Summary of the Updated Medical Loss Ratio Methodology and Historical Results

    A Summary of the Updated Medical Loss Ratio Methodology and Historical Results This is a brief report that summarizes recent changes in the prevalent medical loss ratio methodologies and also ...

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    • Authors: Society of Actuaries
    • Date: Dec 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA)
  • Simplifying Risk Adjustment

    Simplifying Risk Adjustment Healthcare risk adjustment methodologies have become increasingly complex, largely due to the belief that complexity enhances accuracy. However, a disconnect exists ...

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    • Authors: Syed Mehmud
    • Date: May 2025
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Payment models
  • 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
  • Society of Actuaries Analyzes Pharmacy Ecosystem in New Study

    Society of Actuaries Analyzes Pharmacy Ecosystem in New Study The Society of Actuaries Research Institute developed a new study to explore pharmacy financing. The goals of the SOA related to this ...

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    • Date: Mar 2024
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
    • Topics: Health & Disability; Health & Disability>Health insurance
  • Medicare Supplement and FASB’s Long-Duration Targeted Improvements Project                            Part II: Conclusions

    Medicare Supplement and FASB’s Long-Duration Targeted Improvements Project                            Part II: Conclusions In ...

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    • Authors: Rowen Bell
    • Date: Aug 2021
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Generally Accepted Accounting Principles [GAAP]; Health & Disability; Health & Disability>Health insurance