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Implications of Individual Subsidies in the Affordable Care Act—What Stakeholders Need to Understand
Implications of Individual Subsidies in the Affordable Care Act—What Stakeholders Need to Understand ...- Authors: Gregory Fann
- Date: May 2014
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability
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Commercial Health Care: What’s Next? A Health Section Strategic Initiative
ASSOCIATION HEALTH PLANS: HOW WILL THEY AFFECT THE INDIVIDUAL MARKET? By Sabrina Corlette, Josh Hammerquist ... in the Affordable Care Act (ACA)– compliant individual markets under an expan- sion of AHPs. A New ...- Authors: David Dillon
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Public Policy; Public Policy
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What does ERM mean for Health Practitioners?
Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance By Andrew ... the personal level (such as the risk that an individual will be unable to retire when desired with a ...- Authors: Max Rudolph
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Relationship Management>Staff management and motivation; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Enterprise Risk Management; Modeling & Statistical Methods>Forecasting
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Assessing Prescription Opioid Risk with Predictive Analytics
is critical, not only for the health of the individual and their family, but also because of the increased ... approach combines the prediction from hundreds of individual decision trees to come to a final consolidated ...- Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
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Palliative Care
Palliative Care This article from major US payers describes palliative care as a scaleable ... programs can be broadly cate- gorized as shown in Table 1. Table 1 Categories of Palliative Care Programs Program ...- Authors: Randall Krakauer, Bruce Smith, Diane Meier, Torrie Fields
- Date: Nov 2016
- Competency: Leadership>Change management; Leadership>Influence; Leadership>Mentoring; Leadership>Professional network leverage; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Economics>Health economics; Enterprise Risk Management>Systematic risk; Experience Studies & Data>Morbidity; Experience Studies & Data>Mortality; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models
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An Interview: Dr. Uwe Reinhardt
An Interview: Dr. Uwe Reinhardt In this interview Dr. Reinhardt shares his thoughts on the role ... always been this fight – do you risk-adjust by individual going in, or… just simply let everyone enroll ...- Authors: Mary Kindel Van der Heijde, Douglas Norris
- Date: Sep 2009
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Actuarial Profession>Traditional careers; Enterprise Risk Management; Health & Disability>Health risks; Health & Disability>Payment models
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Behavioral Finance Concepts for Actuaries
Behavioral Finance Concepts for Actuaries This article describes seven results from behavioral ... for Applied Economists by Robert Gibbons. The table below is a simple two-person game in which players ...- Authors: John Stark
- Date: Jan 2014
- Competency: Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics
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Behind Clinical Integration
fee schedule negotiation. In this model each individual physician must review and either accept or refuse ... setting the prices at which they sell their individual services, they can be guilty of illegal price ...- Authors: Steven Tutewohl
- Date: May 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health information technology; Public Policy; Technology & Applications>Data warehousing; Health & Disability>Electronic medical record
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Implementing Parity: Investing in Behavioral Health – Part 2
Implementing Parity: Investing in Behavioral Health – Part 2 Part 1 of a 2-part series ... health and substance use disorders. Suppose an individual goes to their primary care physician, who prescribes ...- Authors: Stephen P Melek
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Public Policy