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The Impact of Family Structure on Spare Capacity and Health Care Utilization
The Impact of Family Structure on Spare Capacity and Health Care Utilization This article is based on ... on a third party administrator study and explores the relationships between family structure, spare capacity ...- Authors: Philip Castevens
- Date: Jan 2014
- Competency: Results-Oriented Solutions>Actionable recommendations
- Publication Name: Health Watch
- Topics: Public Policy; Public Policy
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Health Watch, November 2016, Issue 81
November 2016, Issue 81 Read the November 2016 issue of Health Watch published by the Health Section. Newsletters ... practical information for the working actuary, articles on trends that impact sections and news about section ...- Authors: Society of Actuaries
- Date: Nov 2016
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Public Policy; Public Policy
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Prioritization of Health Services
Prioritization of Health Services This session is about the details of the inception and implementation of the ... the Oregon Health Plan. From Record of Society of Actuaries Vol. 18, No. 1B. Government-funded healthcare;Health ...- Authors: Paul R Fleischacker, Harvey Klevit
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy; Social Insurance>Medicaid
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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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Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea?
Reimbursement: A Step in the Right Direction, or Another Flawed Idea? An overview of the issues behind reimbursing ... providers on a bundled or packaged basis. The article presents the potential advantages offered by the proponents ...- Authors: Todd Lueders
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Public Policy
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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
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The Alternative to the Medical Scheme Model for Africa
The Alternative to the Medical Scheme Model for Africa The medical scheme approach adopted by several ... several African countries has failed to meet the needs of those in informal employment and rural communities ...- Authors: Kudzai Chigiji
- Date: Jan 2016
- Competency: Communication>Persuasive communication; Leadership>Influence; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: International News
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Premiums in Regional Health Alliances Under the Clinton Administration's Proposed Health Security Act
Premiums in Regional Health Alliances Under the Clinton Administration's Proposed Health Security ... represents the first, formal actuarial opinion regarding the reasonableness of the premium estimates the Clinton ...- Authors: P Anthony Hammond
- Date: Jan 1995
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations
- Publication Name: Actuarial Research Clearing House
- Topics: Economics>Health economics; Public Policy; Public Policy
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Managing Health Care
Managing Health Care Panel discussion of prospects for cost containment of, and alternatives to, fee-for-service ... fee-for-service health care, and management of health care under national health insurance. Discussion points ...- Authors: Philip Briggs, Gordon R Trapnell, John G Turner, Robert C. Ochsner, Merle H Glick
- Date: Jun 1977
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Public Policy; Public Policy; Reinsurance>Stop-loss insurance
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Navigating Cost-Sharing Reduction Subsidy Defunding
and Michael Cohen As part of the Affordable Care Act (ACA), carriers in the individual market are required ... silver plan, with the requirement that the carrier must charge the same premium as the standard plan. These ...- Authors: Michael Cohen, Peter van Laarhoven
- Date: Mar 2019
- Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy