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Better Care Through Understanding the Customer Not Just the Patient
actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical ... small fraction of their time in these facilities. This article explores what types of data are available ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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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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A Mental Health State of the Union
Health State of the Union This article is intended to inform readers about the current state of mental health ... health and health care in the US, as were it's heading moving forward. Mental health care, wellness, ...- Authors: Traci Leigh Hughes
- Date: May 2023
- Competency: Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
Addressing the Challenge of Volatility in Value-Based Contracts—Part 2 Discover the key components of value-based ... their impact on provider credibility. Learn about benchmarks, measurement period results, and the unique ...- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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The Heart of the Matter
The Heart of the Matter Feature article with helpful hints on video conferencing and more! Reinsurance ...- Authors: Mairi Mallon
- Date: Jul 2020
- Competency: Communication; External Forces & Industry Knowledge
- Publication Name: Reinsurance News
- Topics: Demography; Demography>Longevity; Health & Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Demography>Mortality improvement
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The Next Horizon of Value-based Care: An Opportunity for Actuaries to Become Pioneers in Health Care
The Next Horizon of Value-based Care: An Opportunity for Actuaries to Become Pioneers in Health Care ... Care The momentum in value-based care has produced an opportunity for actuaries to become pioneers in health ...- Authors: Yuxiao Zhao
- Date: Aug 2023
- Competency: External Forces & Industry Knowledge; Leadership; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: Actuarial Profession; Actuarial Profession>Alternative careers; Health & Disability; Health & Disability>Health care
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Biosimilars, Part 5: Payer Decision Making
Biosimilars, Part 5: Payer Decision Making The coming wave of biosimilars could dramatically affect prescription ... strategies over the next several years. The launch of many Humira biosimilars in 2023 is the Big Event that ...- Authors: Greg Warren, Tony Pistilli
- Date: Jan 2024
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance
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Biosimilars, Part 3: Humira Biosimilar Launches
3: Humira Biosimilar Launches The big event of 2023 is the launch of multiple Humira biosimilars, which ... with the arrival of Amgen’s Amjevita on the market. The launch of Amjevita kicks off the process of changing ...- Authors: Tony Pistilli, Greg Warren
- 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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Behavioral Economics: Overview and Healthcare Applications
Healthcare Applications This article provides an overview of behavioral economic theory as it relates to health ... insurance plans and provides summaries of two sample applications of the theories: enrollment in health insurance ...- 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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AI and EMRs: Pioneering the New Frontier in Healthcare Actuarial Practice
EMRs: Pioneering the New Frontier in Healthcare Actuarial Practice In the evolving realm of healthcare actuarial ... contracts are reshaping the landscape. This article explores the pivotal role of AI-enhanced Electronic ...- Authors: Netanel Lederer
- Date: May 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health information technology; Health & Disability>Provider risk; Health & Disability>Electronic medical record