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  • Health Watch, February 2018, Issue 85
    Dean Ratzla 22 A Simple Proposal to Save the Individual ACA Market By Joe Slater and John J. Culkin ... Meeting Coordinators Ashlee Borcan, FSA, MAAA 2018 Valuation Actuary Symposium Coordinator Karen Shelton, ...

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    • Authors: Society of Actuaries
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • 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
  • Health Watch, March 2017, Issue 82
    Interview With Kurt Wrobel 28 The Evolution of the Individual Market (Part I) By Greg Fann 36 Republican Health ... Committee Coordinators Ashlee Borcan, FSA, MAAA 2017 Valuation Actuary Symposium Coordinator Jennifer Gerstorff ...

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    • Authors: Society of Actuaries
    • Date: Mar 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • 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
  • Health Watch, October 2018, Issue 87
    Meeting Coordinators Ashlee Borcan, FSA, MAAA 2018 Valuation Actuary Symposium Coordinator Karen Shelton, ... opinions expressed herein are those of the individual authors and are not neces- sarily those of the ...

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    • Authors: Society of Actuaries
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • 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
  • Health Watch, June 2018, Issue 86
    Meeting Coordinators Ashlee Borcan, FSA, MAAA 2018 Valuation Actuary Symposium Coordinator Karen Shelton, ... opinions expressed herein are those of the individual authors and are not neces- sarily those of the ...

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    • Authors: Society of Actuaries
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
    we exceed the tar- get. For example, as shown in Table 1, the hospital provider partner can exercise a ... program produced by the adverse impacts of an individual catastrophic claim on the incentive pool. In ...

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    • Authors: Edward Cymerys
    • Date: May 2013
    • Competency: Relationship Management>Relationships and trust; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Payment models
  • Health Watch, June 2017, Issue 83
    Committee Coordinators Ashlee Borcan, FSA, MAAA 2017 Valuation Actuary Symposium Coordinator Jennifer Gerstorff ... opinions expressed herein are those of the individual authors and are not neces- sarily those of the ...

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    • Authors: Society of Actuaries
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • 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
  • Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
    better, and the organizations are more capable. The table below summarizes the transitions needed to help ... reimbursement methodologies. We also know that individual consumers are gaining influence, and they have ...

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    • Authors: Mark Bethke, James M Whisler, Amanda Holland
    • Date: May 2013
    • Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy
  • An Actuarial Model to Improve Health and Reduce Costs
    health care costs and an ever-increasing share of individual, corporate and government budgets.1 While everyone ... Health Care Data, 2009–2010 Combined Year Tables—Table 1. Annual Number and Percent Distribution of Ambula- ...

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    • 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
  • New Report on Evaluating Payment Models for High-Cost Curative Therapies
    New Report on Evaluating Payment Models for High-Cost Curative Therapies This short article presents ... framework (see Table 5). These apply to single-payer and multipayer systems. Table 5 Core Evaluation ...

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    • Authors: Didier Serre
    • Date: Mar 2019
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models
  • Medicare Advantage risk scores – Are you competitive?
    average number of HCCs between employer group and individual members after accounting for age/gender ... Competitive? and dual status, we included both individual and employer group members in the analysis used ...

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    • Authors: Corey Berger
    • Date: Oct 2018
    • Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare