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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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Raising the Bar in Medicaid: Actuarial Driven Solutions to Support the Most Vulnerable
Actuaries have the business acumen, problem-solving capabilities, and technical skills to develop innovative ... innovative and data-driven solutions in the social insurance space. It is time we expand our scope and ...- Authors: Khurram Taufiq
- Date: Jan 2022
- Competency: External Forces & Industry Knowledge; Leadership; Strategic Insight and Integration
- Publication Name: In The Public Interest
- Topics: Health & Disability; Social Insurance; Social Insurance>Medicaid
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Risk Strategies Pertaining to the Many and Diverse Risks Found in Retirement—More on Decumulation From Our Call for Essays
Risk Strategies Pertaining to the Many and Diverse Risks Found in Retirement—More on Decumulation From ... an introduction to the SOA call for essays around risk strategies pertaining to the diverse risks found ...- Authors: John Cutler
- Date: Sep 2016
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Pension Section News
- Topics: Health & Disability; Long-term Care; Pensions & Retirement>Retirement risks; Social Insurance
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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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ACLI Update
Update Current tax issues affecting the insurance industry, including the Inflation Reduction Act (Budget ... including the corporate minimum book income tax and share repurchase (or stock buyback) excise tax; the tax ...- Authors: Mandana Parazad, Regina Y Rose, Sarah Lashley
- Date: Sep 2022
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Taxing Times
- Topics: Health & Disability; Life Insurance
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Enhancing the Value of Critical Illness Insurance
Enhancing the Value of Critical Illness Insurance Critical illness insurance is a popular supplemental ... supplemental health insurance product in the U.S. market. This article discusses how carriers have recently sought ...- Authors: Ashlee Borcan
- Date: Feb 2022
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Product Matters!
- Topics: Health & Disability; Health & Disability>Critical illness insurance
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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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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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MACRA's Strategic Implications: What Providers and Health Plans Need to Know
Plans Need to Know MACRA not only impact providers, it will impact the entire healthcare market. MACRA ... primarily focused on providers, with the majority of the information addressing the impacts to clinicians ...- Authors: Julie Witt, James Dolstad
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Economics; Economics>Health economics; Health & Disability
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How blockchain technology will disrupt the PBM-payer-pharmacy relationship
disrupt the PBM-payer-pharmacy relationship This article explores the disruptive applications of blockchain ... blockchain, an emerging technology, and its impact on the pharmacy benefit space, and pharmacy benefit managers ...- Authors: Brian Anderson, Michael DiPrima , Greg Callahan
- Date: Apr 2020
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Technology & Applications; Technology & Applications>Blockchain & cryptocurrency