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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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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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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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A Survey of the Fast-Evolving Landscape for Cell and Gene Therapy Coverage in the United States
A Survey of the Fast-Evolving Landscape for Cell and Gene Therapy Coverage in the United States This ... attempts to make a modest contribution to the dialogue on the potential and risks associated with novel ...- Authors: Ankit Nanda
- Date: May 2024
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance; Reinsurance>Health reinsurance
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Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2
Part 2 This is Part 2 of 2 on changes affecting Medigap insurers. It focuses on marketing and regulatory ... Medigap and Medicare Advantage that affect the competitiveness of Medigap plans. Medigap, Medicare supplement ...- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance; Public Policy; Public Policy
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Issue Brief: Changing Financial Risks for Medigap Insurance, Part 1
Insurance, Part 1 During the past few years, performance, cost, and risk trends for Medigap products ... undergone substantial changes. Some of these trends could ease cost pressures on Medigap insurers, while others ...- Authors: Kristi Bohn
- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance
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Our Value-Based Cup Runneth Over
Our Value-Based Cup Runneth Over Discussion of how to mature value-based contracts between health insurers ... parameter consistency, revenue predictability and risk assessment. Intended audience are health plan and ...- Authors: Daniel Reck (Dan), Lisa Swan, Sam Johnmeyer
- Date: Aug 2022
- Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Provider risk
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Health Care and the Role of the Actuary in Ireland
Health Care and the Role of the Actuary in Ireland Health Care in Ireland public care, private insurance ... insurance, risk adjustment Issue No. 39. Risk adjustment; 9360 12/1/2000 12:00:00 AM ...- Authors: Aisling Kennedy
- Date: Dec 2000
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Critical Illness Turns 40!
provides an overview of critical illness insurance: history, product description, and the three primary ways ... illness coverage in the United States. This article also contains an illustration of an issue age premium ...- Authors: Jennifer Howard, Ashlee Borcan
- Date: Sep 2023
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Experience Studies & Data>Morbidity; Health & Disability; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Experience Studies & Data>Rate calculations; Health & Disability>Incidence; Health & Disability>Rates - Health & Disability; Health & Disability>Termination - Health & Disability
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A Comparison Between the ACA Exchange and Medicare Risk Adjustment Programs
Between the ACA Exchange and Medicare Risk Adjustment Programs Risk adjustment is used to adjust the revenue ... plans. This article compares and contrasts these risk adjustment programs. Health risks;Patient Protection ...- Authors: Kurt Wrobel
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare