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Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
better, and the organizations are more capable. The table below summarizes the transitions needed to help ... reimbursement methodologies. We also know that individual consumers are gaining influence, and they have ...- Authors: Mark Bethke, James M Whisler, Amanda Holland
- Date: May 2013
- Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy
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2015 National Academy of Social Insurance Roundtable: The Link between Retirement Security and Long-Term Care
American Academy of Actuaries, hosted a round- table on recent work of the SOA and Academy on Jan. 28 ... risks, including the possibility of that an individual would need LTC, is acritical part of retirement ...- Authors: John Cutler
- Date: Apr 2015
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Public financing - Health & Disability; Long-term Care>Long-term care insurance; Long-term Care>Public financing - Long-term Care; Modeling & Statistical Methods>Dynamic simulation models; Pensions & Retirement>Private sector plans; Pensions & Retirement>Public sector plans; Public Policy; Public Policy; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
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Employer-Sponsored Insurance Under the ACA: Impacts from the Cadillac Plan Excise Tax
poverty level (approximately $24,000 for a single individual in 2015).25 However, the ACA’s structure does ... ibid., p. 11, Figure 1. 17 Lowry, ibid., p. 8. 18 Table XI.C.1 (2013). Retrieved Oct. 1, 2015, from http://meps ...- Authors: Paul R Houchens
- Date: Jan 2016
- Competency: Strategic Insight and Integration>Big picture view
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy
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Editor's Corner: The Fight for Bettering Long-Term Care
Editor's Corner: The Fight for Bettering Long-Term Care Remarks on the attitudes underlying ... Linder, ASA, MAAA, FLMI, ACS, ARA, is an A & H valuation actuary at General Electric Company Employers ...- Authors: Brad S Linder
- Date: May 2010
- Competency: Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Long-Term Care News
- Topics: Public Policy
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Beautiful Minds, Healthy Bodies
effective role in support of employers and individual members to contain costs and improve health ... incentives and disincentives would seek to customize individual risk profiling and quantify effective treatment ...- Authors: Matthew Varitek
- Date: Jun 2009
- Competency: Strategic Insight and Integration>Big picture view
- Topics: Finance & Investments; Health & Disability>Accident insurance; Health & Disability>Health care; Public Policy
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Impact On An Aging Population Focus Of Bowles Symposium
proposals to allocate part of the payroll tax to individual accounts, partly because of the impact on the ... higher retirement ages, and a modest program of individual retirement accounts for all except the lowest-paid ...- Authors: James C Hickman
- Date: Feb 1997
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: The Actuary Magazine
- Topics: Demography; Demography>Longevity; Public Policy; Public Policy
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Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea?
provider enti- ty to disburse payments to the individual providers. Determining the amount of these payments ... possible without large administrative changes. For individual physicians and hospitals not part of any integrated ...- Authors: Todd Lueders
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Public Policy
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Commercial Healthcare: What's Next
Commercial Healthcare: What's Next A new initiative, Commercial Health Care: What’s Next, ... the small employer market • The impact of the individual mandate • Modified benefit structures/changing ...- 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
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North of the Border with the S.O.eh?
North of the Border with the S.O.eh? A review of the 2009 Health Spring Meeting, which included ... paid years into the future. Consequently, the valuation of these benefits is quite tricky, and projections ...- Authors: Douglas Norris
- Date: Sep 2009
- Competency: Communication>Difficult message delivery; External Forces & Industry Knowledge; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Economics>Health economics; Public Policy
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Early Findings from the ACA's Medicaid Expansion
based on the initial enrollment date (e.g., an individual who enrolled between January and June 2014 was ... analysis provides additional clarity by following individual health plan enrollees over time. Major findings ...- Authors: Richard Marko, Sabrina Gibson, Joshua Kuai, Mitchell Cole
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicaid