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Medicare Advantage risk scores – Are you competitive?
Medicare Advantage risk scores – Are you competitive? What you need to know about risk scores to be competitive ... competitive in the Medicare Advantage market. Medicare;Risk adjustment;Health insurance;Return on investment ...- Authors: Corey Berger
- Date: Oct 2018
- Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
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Health Watch, March 2017, Issue 82
March 2017, Issue 82 Read the March 2017 issue of Health Watch, published by the Health Section. Practical ... Practical information for actuaries, articles impact sections, section activities. Health care costs;Health ...- Authors: Society of Actuaries
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative
Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative ... Initiative This interview article summarizes the work being done by a Health Section Strategic Initiative Committee ...- Authors: Gregory Fann
- Date: Feb 2018
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models
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Health Watch, June 2018, Issue 86
June 2018, Issue 86 Read the June 2018 issue of Health Watch, published by the Health Section. Practical ... Practical information for actuaries, articles impact sections, section activities. Health care costs;Health ...- Authors: Society of Actuaries
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch, June 2017, Issue 83
June 2017, Issue 83 Read the June 2017 issue of Health Watch, published by the Health Section. Practical ... Practical information for actuaries, articles impact sections, section activities. health insurance;health ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch, October 2018, Issue 87
October 2018, Issue 87 Read the October 2018 issue of Health Watch, published by the Health Section. Practical ... Practical information for actuaries, articles impact sections, section activities. Health care costs;Health ...- Authors: Society of Actuaries
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch, February 2018, Issue 85
2018, Issue 85 Read the February 2018 issue of Health Watch, published by the Health Section. Practical ... Practical information for actuaries, articles impact sections, section activities. Health care costs;Health ...- Authors: Society of Actuaries
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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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
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Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
with Risk Sharing to Drive Cost Savings and Improved Quality This article describes the results of three ... three years of work by Blue Shield of California to collaborate with hospitals and physician organizations ...- Authors: Edward Cymerys
- Date: May 2013
- Competency: Relationship Management>Relationships and trust; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Payment models
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Using Predictive Modeling to Risk-Adjust Primary Care Panel
Modeling to Risk-Adjust Primary Care Panel This article discusses techniques used to create risk scores to ... for a provider organization. Predictive modeling;Risk adjustment;Health care payment models 6442477394 ...- Authors: Anders Larson
- Date: Jun 2017
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Health & Disability>Payment models; Predictive Analytics