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First Round of REX Pool Application
First Round of REX Pool Application In the last research column, the Research Expanding Boundaries Pool (REX Pool) was discussed, and it was noted that it is now open for business. Since that ...- Authors: Steven Siegel
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
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Understanding ORSA: Risk, Solvency and Beyond
Understanding ORSA: Risk, Solvency and Beyond Article is a detailed discussion of the Risk Management and Own Risk and Solvency Assessment (RMORSA) Model Act that was recently approved by the ...- Authors: Elisabetta Russo, Lee H Resnick, Jacky Kwan
- Date: Jan 2014
- Competency: Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management; 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: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk categories; Enterprise Risk Management>Risk measurement - ERM; Finance & Investments>Risk measurement - Finance & Investments
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A Look at Top Health Care Systems Around the World
A Look at Top Health Care Systems Around the World What can the United States learn from other countries' health care systems? How are other countries more efficient? We selected five countries ...- Authors: Traci Leigh Hughes, Gail Stone
- Date: May 2021
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Global Perspectives; Health & Disability
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Issue Brief: Changing Financial Risks for Medigap Insurance, Part 1
Issue Brief: Changing Financial Risks for Medigap Insurance, Part 1 During the past few years, performance, cost, and risk trends for Medigap products have undergone substantial changes. Some of ...- 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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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2 Discover the key components of value-based care (VBC) contracts and their impact on provider ...- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; 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; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Our Value-Based Cup Runneth Over
Our Value-Based Cup Runneth Over Discussion of how to mature value-based contracts between health insurers and provider organizations to improve population health and financial sustainability.- Authors: Daniel Reck (Dan), Lisa Swan, Sam Johnmeyer
- Date: Aug 2022
- Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Provider risk
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New Managed Care Risk-Based Capital
New Managed Care Risk-Based Capital Managed Care Risk-Based Capital new formula for HMOs and BCBS plans, modification of disability income, LTC and stop loss factors, market uses of RBC, company ...- Authors: Donna C Novak
- Date: Apr 2000
- Competency: External Forces & Industry Knowledge>Internal forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks
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Adjusting the 1985 NAIC Cancer Claim Cost Tables for Inflation
Adjusting the 1985 NAIC Cancer Claim Cost Tables for Inflation Adjusting the 1985 NAIC Cancer Claim Cost Tables, a collection of morbidity tables, for Inflation and benefit changes Issue No. 34.- Authors: W Keith Sloan
- Date: Feb 1998
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data>Morbidity
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Population Risk Management: Identifying High-Risk Members to Reduce Costs
Population Risk Management: Identifying High-Risk Members to Reduce Costs This is an article about population risk management and using it to reduce health insurance costs. Chronic illness ...- Authors: Ian G Duncan
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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The Actuary and the Medical Device Industry
The Actuary and the Medical Device Industry Adding value in the development, production and marketing process of medical devises regulatory environment, designer/manufacturer perspective, product ...- Authors: ROBERT FREDERICK MCCARTHY
- Date: Oct 2002
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability