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Telehealth at a Crossroads
vendors to treat a narrow range of acute one-and-done conditions. The value proposition was simple: a ... savings and member retention. Clearly, from the perspective of utilization, telehealth—as a viable alternative ...- Authors: Kirsten Staveland, Brian Parkinson
- Date: Dec 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability; Public Policy
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Biosimilars, Part 4: The Financial Impact
Part 4: The Financial Impact Savings from biosimilars have accelerated significantly in the past few ... number of relatively recent biosimilar launches that can help to shape our expectations of the financial ...- Authors: Greg Warren, Tony Pistilli
- Date: Nov 2023
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Public Policy
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New Member Impact on Medicaid Managed Care Costs
New Member Impact on Medicaid Managed Care Costs In this article, the authors explore how the recession ... member enrollment in the various state health care programs and the resulting impact on trend. Analytics ...- Authors: Bela H Patel Fernandez, Jeffrey L Smith
- Date: Feb 2010
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data>Morbidity; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
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Considerations for Surplus Determination under ACA
Considerations for Surplus Determination under ACA Discussion of the impact of the ... ACA Discussion of the impact of the ACA on RBS and required surplus for a health plan Risk-based capital=RBC;Patient ...- Authors: Daniel Pribe, Richard Tash, David M Tuomala
- Date: May 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Comparison of Risk Adjusters
Comparison of Risk Adjusters Analysis of diagnosis and pharmacy-based methods of health risk assessment ... Issue No. 44. Medicare;Prescription drug costs;Risk adjustment; 9406 10/1/2002 12:00:00 AM ...- Authors: Robert Cumming
- Date: Oct 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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At the Intersection of Risk Adjustment and Social Determinants of Health
At the Intersection of Risk Adjustment and Social Determinants of Health Interview of people knowledgeable ... knowledgeable about risk adjustment and the use of social determinants of health with that context for Medicaid ...- Authors: Sudha Shenoy, Gail Stone
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid
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Impact of Proposed Change in Medicare Advantage Payment
Impact of Proposed Change in Medicare Advantage Payment Congress has been debating a revision to Medicare ... payments to the Medicare Fee-For-Service FFS cost. A county-specific impact study to the benchmark payment ...- Authors: Brian Weible, Kirk Luke Shanks
- Date: Jan 2008
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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Intimate Partner Violence: The Shadow Pandemic Part 2: Intimate Partner Violence During the COVID-19 Pandemic
Partner Violence: The Shadow Pandemic Part 2: Intimate Partner Violence During the COVID-19 Pandemic ... Pandemic This article on IPV focuses on IPV during the COVID-19 pandemic blockquote { margin: 10px 20px 20px ...- Date: Mar 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health risks
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Medicaid Work Requirements: Enrollment Impact of Different Policies
Requirements: Enrollment Impact of Different Policies Article provides a market scan of recent state proposals ... Medicaid work requirements as well as measures the impact to enrollment in different states. Health economics;Health ...- Authors: Colby Schaeffer, Nicholas Gersch
- Date: Jun 2018
- Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Forecasting
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An Executive Roundtable on the State of Predictive Analytics in U.S. Health Care
An Executive Roundtable on the State of Predictive Analytics in U.S. Health Care Many executives are ...- Authors: Marilyn Medved McGaffin
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Technology & Applications>Analytics and informatics