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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
Addressing the Challenge of Volatility in Value-Based Contracts—Part 2 Discover the key components of value-based ... credibility. Learn about benchmarks, measurement period results, and the unique challenges providers face ...- 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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Calculation of Confidence Intervals for IBNR Estimates Using the Average PMPM Method
Calculation of Confidence Intervals for IBNR Estimates Using the Average PMPM Method Presents a step-by-step ... estimates derived using the Averaqe PMPM method. It is a companion article to the January 2023 Health Watch ...- Authors: Robert Lynch
- Date: May 2024
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Financial Reporting & Accounting; Health & Disability
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The Big Three of Telehealth
The Big Three of Telehealth Telehealth benefits, obstacles, and delivery systems 2/24/2020 12:00:00 ...- Authors: Traci Leigh Hughes
- Date: Feb 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Health & Disability
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Health Care Cost Trends Request for Proposals – Changes in Medical Trend Due to Provider Disruption
for Proposals – Changes in Medical Trend Due to Provider Disruption The COVID-19 pandemic helped accelerate ... changes in the Health Care system that were already taking place. The major disruptions to the way providers ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Session 2A: Essential Actuarial and Analytic Tools and Methods for Health Insurance and Healthcare Management
health insurance to identify and quantify drivers of healthcare cost and utilization (including wasteful ... methodologies apply, such as underwriting, reinsurance, medical management for population health and chronic diseases ...- Authors: Rong Yi
- Date: Jul 2019
- Competency: Communication; External Forces & Industry Knowledge; Leadership; Professional Values; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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2022-long-term-covid-trends
Discover the impact of COVID-19 on member costs post diagnosis and the future of mortality in this Emerging ... portions. During the Health portion of this webcasts, you will learn more about the impact on risk scores ...- Authors: Society of Actuaries
- Date: Jan 2023
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Topics: Demography; Health & Disability; Life Insurance; Predictive Analytics
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The Next Horizon of Value-based Care: An Opportunity for Actuaries to Become Pioneers in Health Care
The Next Horizon of Value-based Care: An Opportunity for Actuaries to Become Pioneers in Health Care ... Care The momentum in value-based care has produced an opportunity for actuaries to become pioneers in health ...- Authors: Yuxiao Zhao
- Date: Aug 2023
- Competency: External Forces & Industry Knowledge; Leadership; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: Actuarial Profession; Actuarial Profession>Alternative careers; Health & Disability; Health & Disability>Health care
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2022-social-determinants-hc
health research which examines the impacts of social determinants of health on oral health outcomes as ... aspects of social determinants of health can impact how healthcare is delivered as well as the impact ...- Authors: Marjorie Rosenberg, Achilles M Natsis
- Date: Sep 2022
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Health Care Cost Trends Request for Proposals – Recent Changes in Medical Service Composition and Trends
Proposals – Recent Changes in Medical Service Composition and Trends The Society of Actuaries (“SOA”) Research ... Research Institute is the research arm of the SOA, providing objective, data-driven research that brings ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Health Foundations e-Course
Health Foundations e-Course ... Learn how medical coding, claims, data-sourcing and more are relevant to actuarial work in the health care ... 15953 6442483480 1017 8/1/2018 12:00:00 AM Society of Actuaries ...- Authors: Society of Actuaries
- Date: Aug 2018
- Competency: Professional Values; Results-Oriented Solutions
- Topics: Health & Disability