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Small-Employer Health Insurance Purchasing Alliances
Small-Employer Health Insurance Purchasing Alliances Presented at June 1996 Spring Meeting. This ... Meeting. This session provides a description of several state purchasing alliances and their experience ...- Authors: James O'Connor, Harvey Sobel, Jim H Srite, Susan Jackson, Richard Figueroa
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Public Policy
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The Opportunities During Transformation: Moving To Health Care 2.0
The Opportunities During Transformation: Moving To Health Care 2.0 Essay reforming management in health ... health care, structure of reimbursement, program management, health information, measurement systems, etc ...- Authors: Greger J Vigen
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance
- Topics: Enterprise Risk Management>Compliance; Health & Disability>Health care; Health & Disability>Health information technology; Public Policy; Social Insurance>Medicare; Health & Disability>Electronic medical record
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The Evolving Regulatory Environment for Health Care
The Evolving Regulatory Environment for Health Care Panel discussion on how insurers can deal with the ... the proliferation of laws, court decisions and regulations, and on the outlook for future developments ...- Authors: Harold I Cohen, Richard Minck, Daniel W Pettengill, Peter Thexton, Nathaniel Taft
- Date: Oct 1977
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health insurance; Public Policy; Public Policy
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Accountable Care Organizations: An Untapped Opportunity
provider risk under various ACO models, limitations of the Medicare model for motivating change in the health ... strategic priorities, attribution of members, meaurement, and the roles actuaries can play. Accountable ...- Authors: Jim Toole, Sara Teppema
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
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Commercial Healthcare: What's Next
Commercial Healthcare: What's Next A new initiative, Commercial Health Care: What’s ... will focus on education and research for health actuaries regarding issues that remain with the ACA. health ...- 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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Commercial Health Care: What’s Next? A Health Section Strategic Initiative
What’s Next? A Health Section Strategic Initiative The Health Section's strategic initiative entitled ... entitled Commercial Health Care: What’s Next? focuses on health care reform. This article contains a summary ...- Authors: David Dillon
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Public Policy; Public Policy
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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries Explanation of Medicare ... important features of the program from an actuarial perspective, how the components of the STAR rating are ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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FEDERAL HEALTH CARE REFORM 2009: START-UP CAPITAL COSTS FOR HEALTH CARE CO-OPS AND A PUBLIC PLAN
FEDERAL HEALTH CARE REFORM 2009: START-UP CAPITAL COSTS FOR HEALTH CARE CO-OPS AND A PUBLIC ... care payment reforms;Risk adjustment;Risk-based capital=RBC;Risk categories=Risk classes; 6646 10/30/2009 ...- Authors: Ian G Duncan, James Galasso, James A Geyer, Jay C Ripps, Cabe Chadick, Karl Lewis, Sara Teppema, Shari Westerfield
- Date: Oct 2009
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Public Policy; Social Insurance>Government-funded healthcare
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Summary of House of Representatives Tri-Committee Bill – H.R. 3200
Summary of House of Representatives Tri-Committee Bill – H.R. 3200 Summary of House of Representatives ...- Authors: William Lane
- Date: Sep 2009
- Competency: 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 insurance; Public Policy; Social Insurance>Government-funded healthcare
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Behind Clinical Integration
activity has highlighted the importance of Clinical Integration in improving the quality, safety, efficiency ... infrastructure of the health care system. This article discusses relevance and implication of regulatory ...- Authors: Steven Tutewohl
- Date: May 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health information technology; Public Policy; Technology & Applications>Data warehousing; Health & Disability>Electronic medical record