1
-
10
of
14
results (0.42 seconds)
Sort By:
-
Abstracts of Health Articles from the North American Actuarial Journal
Abstracts of Health Articles from the North American Actuarial Journal Highlights of health related ... related articles from the North American Actuarial Journal. A paper on health care reform and efficiency is ...- Authors: Ian G Duncan
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy
-
Chairperson's Corner
includes a summary of 2012 Health section activities as well as upcoming events, including the Health '12 ... two HARI research projects (ACOs and risk adjustment), the value of health section membership, and our ...- Authors: Kevin Law
- Date: May 2012
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Public Policy; Public Policy
-
An Actuarial Model to Improve Health and Reduce Costs
Patient Value model, the PCP receives an incentive payment of $2,000, bringing the total compensation ... compensation to $2,750. The model takes a long-term view recognizing that eliminating a chronic condi- tion will ...- Authors: Ken Beckman
- Date: Oct 2017
- Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
-
Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal to address ... accountable care organizations. Capitations would be risk-adjusted, non-capitated costs would be covered by ...- Authors: Mark Florian
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance
-
Session 031: Pharmacy Pricing - US Policy and Global Perspective
have entered a new era of growth driven by Specialty medications. A bevy of state and national regulations ... projection will benefit from a deeper understanding of the US pharmacy market landscape and gain an international ...- Authors: Gregory L Warren, Laura Elizabeth Coe , Scott Fry
- Date: May 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Payment models; Public Policy
-
Section 1332 Waivers: Coming Soon to a State Near You?
requirements of the Patient Protection and Affordable Care Act. The article focuses on specific opportunities ... opportunities for states and the role that actuaries will play. Patient Protection and Affordable Care Act= ...- Authors: Gregory Fann
- Date: May 2016
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy
-
The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries Explanation of Medicare ... important features of the program from an actuarial perspective, how the components of the STAR rating are ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
-
Health Care 2.0—Massive Implications of System Transformation
0—Massive Implications of System Transformation The healthcare industry is in the middle of extraordinary times ... times. This article outlines the many forces driving this transformation, as well as various obstacles ...- Authors: Greger J Vigen
- Date: May 2013
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Payment models; Public Policy
-
Escaping the Addiction – From Preferred Payer to Rational Pricing
Escaping the Addiction – From Preferred Payer to Rational Pricing A proposal to reform current health ... system, in which Medicare and Medicaid pay less than the true cost while others must then pay more, to a 'value ...- Authors: Hobson Carroll
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
-
Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model As ... model into the future. This requires actuarial and clinical/provider capabilities to assess the care management ...- Authors: Mark Bethke, James M Whisler, Amanda Holland
- Date: May 2013
- Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy