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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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Estimating the Impact of Disease and Treatment on Life Expectancy
Estimating the Impact of Disease and Treatment on Life Expectancy Analysis of the impact of disease progression ... treatment on life expectancy provides perspective on the long term costs to the health care system of chronic ...- Authors: Tzu-Chun Kuo, Philipp Vetter
- Date: Jan 2011
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Demography>Longevity; Health & Disability>Health care quality; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining
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Intimate Partner Violence: The Shadow Pandemic Part 1: Background Briefing
Violence: The Shadow Pandemic Part 1: Background Briefing In this paper, we shine a light on the global ... epidemic of intimate partner violence (IPV). This first paper presents background information on the problem ...- Date: Mar 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health risks
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Intimate Partner Violence: The Shadow Pandemic Part 2: Intimate Partner Violence During the COVID-19 Pandemic
Partner Violence: The Shadow Pandemic Part 2: Intimate Partner Violence During the COVID-19 Pandemic ... Pandemic This article on IPV focuses on IPV during the COVID-19 pandemic blockquote { margin: 10px 20px 20px ...- Date: Mar 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health risks
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Medicaid Work Requirements: Enrollment Impact of Different Policies
Requirements: Enrollment Impact of Different Policies Article provides a market scan of recent state proposals ... Medicaid work requirements as well as measures the impact to enrollment in different states. Health economics;Health ...- Authors: Colby Schaeffer, Nicholas Gersch
- Date: Jun 2018
- Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Forecasting
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Additional Actuarial Perspectives on Prescription Drug Financing
Additional Actuarial Perspectives on Prescription Drug Financing Introduction to additional actuarial ... development of and regulatory impact, economic impact and consumer impact of prescription drugs in the United ...- Authors: Gregory L Warren
- Date: Apr 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Public financing - Health & Disability
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Understanding Health in the Big Picture
Understanding Health in the Big Picture Social determinants of health (SDoH) have been a topic of growing interest ... interest in recent years, yet consensus about what the phrase represents and how health-related social needs ...- Authors: Jill Van Den Bos, Stoddard Davenport
- Date: Aug 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health risks
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Soundbites from the American Academy of Actuaries’ Health Practice Council
from the American Academy of Actuaries’ Health Practice Council Updates on the efforts of the Academy’s ... policymakers on issues including principles for reform, Medicare, the individual insurance market, and risk factors ...- Authors: Heather E Jerbi, Melissa Stevens
- Date: Sep 2009
- Competency: Communication>Written communication; Leadership>Influence; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability>Health risks; Public Policy; Public Policy; Social Insurance>Medicare
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Strategies for Leveraging the ACA Risk Adjuster
Leveraging the ACA Risk Adjuster This article begins with a comparison of the commercial risk adjuster ... adjuster to the exisiting Medicare model, and goes on to discuss why the existing strategies employed by health ...- Authors: Jason Siegel
- Date: Oct 2013
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks
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Risk Adjustment: The Details and Why They Matter
Risk Adjustment: The Details and Why They Matter The CMS Risk adjustment model allows actuaries to apply ... knowledge to solve risk and revenue challenges within Health Plans. Health risks;Risk adjustment;Medic ...- Authors: Karena Weikel
- Date: Feb 2018
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks