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Medicare Part D Settlements - A Primer
Medicare Part D Settlements - A Primer A high level summary of the basics of Medicare ... summary of the basics of Medicare Part D settlements - what they are, and the impact they have on plan sponsors' ...- Authors: Kate Herbig
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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Health Watch, October 2020
Watch, October 2020 Read the October 2020 issue of Health Watch published by the Health Section. Newsletters ... practical information for the working actuary, articles on trends that impact sections and news about section ...- Authors: Society of Actuaries
- Date: Oct 2020
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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How blockchain technology will disrupt the PBM-payer-pharmacy relationship
disrupt the PBM-payer-pharmacy relationship This article explores the disruptive applications of blockchain ... blockchain, an emerging technology, and its impact on the pharmacy benefit space, and pharmacy benefit managers ...- Authors: Brian Anderson, Michael DiPrima , Greg Callahan
- Date: Apr 2020
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Technology & Applications; Technology & Applications>Blockchain & cryptocurrency
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MACRA's Strategic Implications: What Providers and Health Plans Need to Know
Plans Need to Know MACRA not only impact providers, it will impact the entire healthcare market. MACRA ... primarily focused on providers, with the majority of the information addressing the impacts to clinicians ...- Authors: Julie Witt, James Dolstad
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Economics; Economics>Health economics; Health & Disability
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Health Watch, August 2020, Issue 99
August 2020, Issue 99 Read the August 2020 issue of Health Watch published by the Health Section. Newsletters ... practical information for the working actuary, articles on trends that impact sections and news about section ...- Authors: Society of Actuaries
- Date: Aug 2020
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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The Black Sheep of the ACA Family
The Black Sheep of the ACA Family This article discusses the court cases dealing with the severability ... severability of the individual mandate from the Affordable Care Act. Severability is related to essentiality, ...- Authors: Gregory Fann
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability; Public Policy
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A Survey of the Fast-Evolving Landscape for Cell and Gene Therapy Coverage in the United States
A Survey of the Fast-Evolving Landscape for Cell and Gene Therapy Coverage in the United States This ... attempts to make a modest contribution to the dialogue on the potential and risks associated with novel ...- Authors: Ankit Nanda
- Date: May 2024
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance; Reinsurance>Health reinsurance
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Claims Reserve Margin in the Health Annual Statement: A Review of 2016–2021
Margin in the Health Annual Statement: A Review of 2016–2021 In preparing claims reserves in the annual ... order to satisfy language in both in the National Association of Insurance Commissioners (NAIC) Health ...- Authors: Robert Lang, Elliot McLeRoy
- Date: Nov 2023
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Claims - Health & Disability
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Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2
Part 2 This is Part 2 of 2 on changes affecting Medigap insurers. It focuses on marketing and regulatory ... Medigap and Medicare Advantage that affect the competitiveness of Medigap plans. Medigap, Medicare supplement ...- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance; Public Policy; Public Policy
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Issue Brief: Changing Financial Risks for Medigap Insurance, Part 1
Insurance, Part 1 During the past few years, performance, cost, and risk trends for Medigap products ... undergone substantial changes. Some of these trends could ease cost pressures on Medigap insurers, while others ...- Authors: Kristi Bohn
- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance