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An Actuarial Model to Improve Health and Reduce Costs
Patient Value model, the PCP receives an incentive payment of $2,000, bringing the total compensation ... compensation to $2,750. The model takes a long-term view recognizing that eliminating a chronic condi- tion will ...- Authors: Ken Beckman
- Date: Oct 2017
- Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Chairperson’s Corner: Industry Challenges/Challenges to the Industry
Corner: Industry Challenges/Challenges to the Industry Update on the Long Term Care Section activities, including ... and educating policymakers, the public, and other industry associations on developments in health care ...- Authors: Steven Schoonveld
- Date: Dec 2009
- Competency: Communication; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Long-Term Care News
- Topics: Actuarial Profession>Professional associations; Public Policy; Public Policy
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ASOPs, Anti- Selection, Affordability and ACA Altern
ACA Altern This article is focused on sustainability concerns in the ACA individual markets and what we ... Health economics;Health policy;Health risks;Standards of practice;Individual health plans 6442471992 11/1/2016 ...- 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
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Two Issues in the US Healthcare System
Two Issues in the US Healthcare System Essay discussing that the two factors that affect healthcare ... healthcare cost are costs and the fact that people lack coverage. Funding policy;Government-funded healthcare;Health ...- Authors: Brian Arthur Jones
- Date: Jun 2009
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Strategy development
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Public financing - Health & Disability; 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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Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal to address ... accountable care organizations. Capitations would be risk-adjusted, non-capitated costs would be covered by ...- Authors: Mark Florian
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance
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Managing Health Care
Managing Health Care Panel discussion of prospects for cost containment of, and alternatives to, fee-for-service ... fee-for-service health care, and management of health care under national health insurance. Discussion points ...- Authors: Philip Briggs, Gordon R Trapnell, John G Turner, Robert C. Ochsner, Merle H Glick
- Date: Jun 1977
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Public Policy; Public Policy; Reinsurance>Stop-loss insurance
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Managing Health Care
Managing Health Care Panel discussion focusing on managing health care costs. Health care costs;Health ...- Authors: Richard H Hoffman, William C Hsiao, Richard J Mellman
- Date: May 1977
- Competency: Communication>Persuasive communication; Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Public Policy; Public Policy; Social Insurance>Government-funded healthcare
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U.S. Health Care System: Righting An Inversion
cash-flow streams away from projects which feed the beast and focus on projects and policies which enhance value ... combination of thoughtful, coordinated policies and a change in our cultural expectations of infinite resources ...- Authors: Jim Toole
- Date: Jun 2009
- Competency: Leadership>Thought leadership
- Topics: Economics>Financial markets; Public Policy; Health & Disability>Electronic medical record
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Health Enables Wealth
Mental health spending has reached $147 billion in the United States with demand only increasing greatly ... crisis surpassing 1 percent of the GDP. These costs coupled with the severe lack of licensed clinicians calls ...- Authors: Rich Gengler, Irving Steel, Stevan Hobfoll
- Date: May 2016
- Competency: Leadership>Thought leadership; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health information technology; Health & Disability>Health insurance; Public Policy; Public Policy