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Changing With the Times: The Past and the Future of ACA Risk Adjustment
on the other hand, originate directly from the U.S. Department of Health and Human Services (HHS), ... Insurance Coverage in Exchanges in States (CHOICES) to U.S. Department of Health and Human Services Secretary ...- Authors: Jason Karcher , Cameron Kevin Gleed, Jason James Petroske
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Affordable Care Act (ACA)
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The User Experience
The User Experience How can actuaries tailor their work to a target audience? This article explores ... to use the model? Is it appropriate to have a table of contents with hyperlinks to sheets where specific ...- Authors: Robert Lang, MICHAEL JOSEPH GILLESPIE, Evan Morgan
- Date: Jun 2017
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices
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A Look Inside the Black Box
A Look Inside the Black Box This article provides a brief overview of the current state of machine ... members. A model like this leaves a lot on the table, but it serves the purpose of illustrating the ...- Authors: Gregory Louis Mottet FSA,MAAA (Greg)
- Date: Aug 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods>Regression analysis
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The Actuary and the Medical Device Industry
The Actuary and the Medical Device Industry Adding value in the development, production ... understanding the regulatory environment and the developer ’s perspective, insight can be gained as to how an actuary ...- Authors: ROBERT FREDERICK MCCARTHY
- Date: Oct 2002
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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Evolution of the Health Actuary
Evolution of the Health Actuary Disruptive changes will create opportunities for ... Economist Intelligence Unit (EIU), almost 60 percent of U.S. hospital executives say that they must make substantial ...- Authors: Joan Barrett
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development
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At the Intersection of Risk Adjustment and Social Determinants of Health
Determinants of Health By Sudha Shenoy and Gail S. Stone Risk adjustment (RA) is the statistical process ... be reached at sushenoy@evolenthealth.com. Gail S. Stone, FSA, MAAA, is director, Actuarial Services ...- Authors: Sudha Shenoy, Gail Stone
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid
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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 exploring ... of judgment that people make on mental illness.”—U.S. Rep. Patrick Kennedy Health Watch | september ...- 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
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Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does It?
Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves ... dramatically improve a complex and often dysfunctional U.S. health system. cold will too often get an antibiotic ...- Authors: Tia Sawhney, Bruce Pyenson
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Health & Disability>Payment models
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What Will Be the Impact of theNew Medicare PrescriptionDrug Benefit?
What Will Be the Impact of theNew Medicare PrescriptionDrug Benefit? This article provides ... approximately 15 percent of the costs after the member ’s out-of- pocket expenses are greater than $3,600. The ...- Authors: Corey Berger
- Date: Mar 2005
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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An Interview with Rick Foster
An Interview with Rick Foster Rick Foster, chief actuary at the Centers for Medicare & ... By Mary van der Heijde and doug norris Richard S. Foster, FSA, MAAA Chief Actuary Centers for Medicare ...- Authors: Mary Kindel Van der Heijde, Douglas Norris
- Date: Oct 2011
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Actuarial Profession>Academic partnerships; Public Policy