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There is substantive activity on payment and system reform across the healthcare landscape. This includes major initiatives like Accountable Care Organizations and Patient Centered Medical Homes, with over 250 federal programs and hundreds of private sector initiatives. These are supported by a combination of new and old payment approaches, from shared savings to episode based payment, that are moving the medical model from volume-based reimbursement to value-based rewards. Much of this work is happening now as payers and providers form alternative networks, create modified reporting systems, implement innovative payment contracts, and attempt to build and/or reshape long-term relationships between providers and payers. Decisions being made now will impact ongoing health care cost trends, product design for health insurance exchanges, relationships between physician and hospital costs, and other actuarial topics.Given the immediate implications of this activity, the Health Section Council and the Society of Actuaries are offering a major seminar on these topics. The seminar will include:
This seminar will be helpful for those who will be engaged in these initiatives this year, actuaries working for the provider community, and executives who need to understand the program implications.
Demonstrating the listening, writing and speaking skills required to effectively address diverse technical and nontechnical audiences in both formal and informal settings.
Adhering to standards of professional conduct and practice where all business interactions are based on a foundation of integrity, honesty and impartiality.
Identifying and incorporating the implications of economic, social, regulatory, geo-political and business changes into the design and delivery of actuarial solutions.
Initiating, innovating, inspiring, creating or otherwise acting to influence others regardless of level or role toward a common goal.
Creating mutually beneficial relationships and work processes toward a common goal.
Applying the actuarial knowledge, skills and judgment required to provide value-added services.
Anticipating trends and strategically aligning actuarial practice with broader organizational business goals.
Providing effective problem solving that addresses relevant interests and needs.
More information on the Competency Framework