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Selling Health Insurance Across State Lines
Selling Health Insurance Across State Lines Discusses various aspects of allowing a health ... or oversight. health insurance;health policy;individual health plans;Health care reform;Patient Protection ...- Authors: Lawrence Mitchell
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Internal forces and business performance; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Calibrating Risk Score Model with Partial Credibility
regression model was the normalized cost of each individual. The outcomes for very high cost individuals ... regression model. For example, one very high-cost individual flagged for a certain condition could singlehandedly ...- Authors: Sheamus Parkes, Brad Armstrong
- Date: Oct 2015
- Competency: Results-Oriented Solutions>Actionable recommendations; 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: Expanding Horizons
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Bayesian methods; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods; Predictive Analytics
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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 ...- 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
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Health Watch Issue 73, October 2013
program is a temporary feature that will apply to individual and small group qualified health plans (QHPs) ... grandfathered plans, self-funded plans, and non-QHP individual and small group plans will not participate in ...- Authors: Karen Perry, Society of Actuaries
- Date: Oct 2013
- Competency: Results-Oriented Solutions>Actionable recommendations
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Health Insurance - Legislation and Inflation
unem- ployment is always a serious matter for the individual, and since some unes- ployment is always with ... closed-panel type. A good illustration of the individual practice type is the program de- veloped by the ...- Authors: Richard H Hoffman, William C Hsiao, Robert J Myers, William Thomas
- Date: Apr 1975
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; 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; Health & Disability>Health care; Public Policy; Public Policy
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Health Watch, Issue 79, December 2015, Health Watch
and opinions expressed herein are those of the individual authors and are not necessarily those of the ... are more similar to the individual and worksite products. Worksite and individual products often use simplified ...- Authors: Society of Actuaries
- Date: Dec 2015
- Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Professional Values>Ethical standards; Relationship Management>Team leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; 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: Health Watch
- Topics: Experience Studies & Data>Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science
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Health Watch, Issue 72, May 2013
and opinions expressed herein are those of the individual authors and are not necessarily those of the ... we exceed the tar- get. For example, as shown in Table 1, the hospital provider partner can exercise a ...- Authors: Society of Actuaries
- Date: May 2013
- Competency: Results-Oriented Solutions>Actionable recommendations
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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To Be Continued - Actuarial Aspects Of HMO's
exact primary insurance amounts in the benefit table. 1. Integrated Bu,dgeting Approach: are then allocated ... total operating costs lation on a unit basis. The table below of the HMO organization providing shows, ...- Authors: John G Turner
- Date: Jan 1973
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Alternative careers; Health & Disability>Health care
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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- ...- 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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Prioritization of Health Services
poverty level. Providers, including hospitals, individual physicians, clinics, and so on, will be reim- ... good values. On the basis of importance to the individual, importance to the populations served and the ...- Authors: Paul R Fleischacker, Harvey Klevit
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy; Social Insurance>Medicaid