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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 ...- 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
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Response to March 2021 Practice Note on ASOP 6
Advantage (MA)12 plans exist in the form of either individual or group-issued contracts. Each type receives ... practice of not age-rating the premiums for these individual or group MA, MA-PD, or stand-alone Medicare Part ...- Authors: Charles Edwards
- Date: Aug 2022
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data>Morbidity; Health & Disability>Health care
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Hospital Contracting Best Practices
Hospital Contracting Best Practices Health Watch Newsletter, May 2006, Issue No. 52. This article ... survey of hospital contracting best practices. Individual health plans were evaluated using a structured ...- Authors: Application Administrator
- Date: May 2006
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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International compendium
PART III HEALTH BEHAVIORS Individual care recipient role Individual healthcare role Group healthcare ... roles in Chapter three, a person acting in the “individual person” role. Use the agent role index. For ...- Authors: Alan Mills
- Date: Jun 2013
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health care
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The Minnesota Antiselection Model
the program. Further, the expected costs for individual members of that population can be described ... employer group data, where we assumed there was no individual selection. The existence and impact of antiselecfion ...- Authors: Application Administrator
- Date: Jan 1991
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health care; Modeling & Statistical Methods; Public Policy
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Behavioral Economics: Overview and Healthcare Applications
assumes an individual “thinks and chooses unfailingly well,”2 whereas the latter assumes an individual is “not ... but behavioral economics took advantage of individual human behavior to the benefit of the airport ...- Authors: Randy P Herman, Tony Pistilli, Brian Plaskow, Jeffrey Chanin
- Date: Aug 2020
- Competency: External Forces & Industry Knowledge; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Economics; Economics>Behavioral economics; Economics>Health economics; Health & Disability; Health & Disability>Health care
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The Cost and Benefits of Treating Type 2 Diabetes Mellitus as a Chronic Condition
also least likely to cause side effects in the individual patient. However, the development of genetics- ... goal of such treatment is to keep the diabetic individual asymptomatic for as long as possible through ...- Authors: Robert D Lieberthal
- Date: Mar 2005
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Topics: Actuarial Profession>Competencies; Economics; Health & Disability>Health care; Health & Disability>Health insurance
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State-Mandated Health Benefits
projects as long-term care on nonforfeiture and valuation issues, Medicare supplement loss ratio review ... Houston office where he works with both group and individual health insurance. He has worked with insurers ...- Authors: Larry M Gorski, John A Maurer, Thomas Snook, Application Administrator, William Watson
- Date: Apr 1990
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Provider Contracting Issues and Trends
to provide more transparency in costs to the individual consumer. Besides directly impacting utilization ... will be in a position to make choices. If the individual is going to choose between two facilities or ...- Authors: Frederick L Davis, Thomas Snook, John Limm, Susan Pantely
- Date: May 2004
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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COVID-19, Unknown Unknowns, and Public Finance on the Fly
obligation in good times and bad times. While individual risks are not predictable, the business of insurance ... also overly simplistic and does not consider an individual insurer’s risk profile. Insurance company insolvencies ...- Authors: Gregory Fann
- Date: May 2020
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Social Insurance; Health & Disability>Affordable Care Act (ACA)