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  • The Evolution of the Individual Market (Part II)
    Evolution of the Individual Market (Part II) Part II of a two-part series discussing individual market evolution ... the ACA through President Trump's first term. Individual health plans, Government-funded healthcare, Affordable ...

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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
  • A Simple Proposal to Save the Individual ACA Market
    A Simple Proposal to Save the Individual ACA Market We propose using premiums and tax revenue to fund ... fund high-cost individuals in the Individual ACA market. Patient Protection and Affordable Care Act= PPACA=Affordable ...

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    • Authors: Joseph Slater, John Culkin
    • Date: Feb 2018
    • Competency: Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Public Policy
  • ASOPs, Anti- Selection, Affordability and ACA Altern
    focused on sustainability concerns in the ACA individual markets and what we can learn from core actuarial ... economics;Health policy;Health risks;Standards of practice;Individual health plans 6442471992 11/1/2016 12:00:00 ...

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    • Authors: Gregory Fann
    • Date: Nov 2016
    • Competency: Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Standards of practice; Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
  • Navigating Cost-Sharing Reduction Subsidy Defunding
    Navigating Cost-Sharing Reduction Subsidy Defunding This paper will examine why CSR defunding produces ... Protection and Affordable Care Act, Rate regulation, Individual health plans 3/14/2019 12:00:00 AM ...

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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
  • Consumers to the Rescue? A Primer on HDHPs and HSAs
    employees to select the benefits that best met their individual needs.2 At about the same time, the Internal ... 900 for self- only coverage for 2019).11,12 The table in Figure  1 shows the HDHP limits for benefit ...

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    • Authors: Fritz Busch, Barbara Collier, Jason Karcher , Steven Phillips
    • Date: Mar 2019
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Advantage Bid Rebate Federal Part C Revenue Table 1 2019 Quality Bonus Payment and Rebate Percentages ... star rating are shown in Table 1.4 The current distribution of individual MA contracts by 2018 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
  • Medicaid Work Requirements: Enrollment Impact of Different Policies
    Cuts and Jobs Act of 2017, which repealed the individual mandate starting in 2019. The January 2018 issue ... the District of Columbia. Since the “disabled individual” definitions in proposals can be subjective ...

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    • Authors: Colby Schaeffer, Nicholas Gersch
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Forecasting
  • Chairperson's Corner
    and opinions expressed herein are those of the individual authors and are not necessarily those of the ... employ- ers will send their employees to the individual market? What percentage of the current uninsured ...

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    • Authors: John Kinney
    • Date: Oct 2013
    • Competency: Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional development; Health & Disability>Health insurance
  • Critical Illness Overview - 2015 Update
    are more similar to the individual and worksite products. Worksite and individual products often use simplified ... required time to elapse between occurrences. The table below shows the approximate percentage adjustments ...

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    • Authors: Rex Durington
    • Date: Dec 2015
    • Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional development; Health & Disability>Critical illness insurance
  • Potential Membership Shifts for Medicare Prescription Drug Plans
    in these “skinny enhanced” plans, as shown in Table 1. For 2011, carriers had to decide whether to ... plans into their basic plan offering for 2011. As Table 1 shows, there were approximately 1.6 million members ...

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    • Authors: Shelly Brandel
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Public Policy; Social Insurance>Medicare