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  • Valuation of Care Management Vendors
    Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings by external ...

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    • Authors: Rick S Pawelski
    • Date: May 2020
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
  • Human Nature and the US Health Care System, Part I
    and the US Health Care System, Part I The third in a series of four articles that illustrate the “soft” ... “soft” approach of game theory using Thucydides’ master work, The History of the Peloponnesian War. By ...
    • Authors: Carlos Eduardo Fuentes
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>General business skills; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Innovators & Entrepreneurs
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
  • Health Section, Issue 88, February 2019, Health Watch
    From the Editor By JoAnn Bogolin 4 Chairperson’s Corner By Karen Shelton 5 Up Front With the SOA Staff ... Fellow By Joe Wurzburger 8 Consumers to the Rescue? A Primer on HDHPs and HSAs By Fritz Busch, Barbara ...

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    • Authors: Society of Actuaries
    • Date: Mar 2019
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Chairperson's Corner
    Chairperson's Corner ... Hear from the chairperson on themes in the March 2017 issue of Health Watch, published by the Health Section ...

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    • Authors: Brian Pauley
    • Date: Mar 2017
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability
  • The Crisis in Healthcare Cost in the United States–An Actuary's Perspective
    The Crisis in Healthcare Cost in the United States–An Actuary's Perspective Examines the question of ... Health care costs;Health insurance; The Crisis In Healthcare Cost In The United States–An Actuary's Perspective ...

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    • Authors: Application Administrator
    • Date: Dec 2006
    • Competency: External Forces & Industry Knowledge
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Surplus and the ACA
    Surplus and the ACA Surplus and the ACA Patient Protection and Affordable Care Act= PPACA=Affordable ...

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    • Authors: Daniel Pribe
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; 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 care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Validating a Novel Health Insurance Fraud Detection Method
    detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for fraud detection ... detection in Medicare. Enterprise Risk Management = ERM;Own Risk Solvency Assessment = ORSA; Health care ...

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    • Authors: Robert D Lieberthal, Elias
    • Date: Aug 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Risk Management
    • Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
  • The Health Care Crisis in the United States: My Vision for a Better Future
    The Health Care Crisis in the United States: My Vision for a Better Future While there are many issues ... healthcare, the single most significant issue is cost, both in terms of the cost today and in terms of the growth ...

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    • Authors: William Lane
    • Date: Jun 2009
    • Competency: Leadership>Influence; Leadership>Thought leadership; Professional Values>Public interest representation
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • Health Care Reform: Essential Health Benefits and Actuarial Value
    Health ... Article from The ACA@5 August 2015 Issue 1 16 | AUGUST 2015 THE ACA@5 Health Care Reform: ... Knuth on Oct. 1, 2013, thus allowing individuals and small groups who wanted to remain on pre- ACA ...

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    • Authors: Catherine Knuth
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; 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 care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Practical Reform For The U.S. Health Insurance System
    Reform For The U.S. Health Insurance System This paper discusses the the continuing cost of health insurance ... problem for most of us. However, the long-term continuation of the excess growth rate of the health care ...

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    • Authors: John Cookson
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge; Leadership>Thought leadership; Strategic Insight and Integration>Influence decisions
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance