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  • Health Watch, Issue 72, May 2013
    Health Watch, Issue 72, May 2013 May 2013 issue of the Health Watch newsletter Health Care Costs;Health ...

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    • Authors: Society of Actuaries
    • Date: May 2013
    • Competency: Results-Oriented Solutions>Actionable recommendations
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
  • 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 ... effective preventive care would be tied to the amount remaining in the fund, and government involvement would ...

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    • 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
  • Selling Health Insurance Across State Lines
    Insurance Across State Lines Discusses various aspects of allowing a health insurance policy approved in one ... one state to be sold in another state without the latter's approval or oversight. health insurance;health ...

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    • Authors: Lawrence Mitchell
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Internal forces and business performance; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Building Actuarial Cost Models From Health Care Claims Data
    across the country generates billions of claim records annually. Claim records originate as a form of invoice ... Providers submit the claims to the liable payer (typically a health plan, government agency or the patient) ...

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    • Authors: William Bednar
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence
  • Health Watch, November 2016, Issue 81
    November 2016, Issue 81 Read the November 2016 issue of Health Watch published by the Health Section. Newsletters ... Newsletters provide practical information for the working actuary, articles on trends that impact sections ...

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    • 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
  • The User Experience
    The User Experience How can actuaries tailor their work to a target audience? This article explores ...

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    • 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
  • Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
    Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive ... Quality This article describes the results of three years of work by Blue Shield of California to collaborate ...

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    • Authors: Edward Cymerys
    • Date: May 2013
    • Competency: Relationship Management>Relationships and trust; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Payment models
  • Medicare Advantage risk scores – Are you competitive?
    Medicare Advantage risk scores – Are you competitive? What you need to know about ... need to know about risk scores to be competitive in the Medicare Advantage market. Medicare;Risk adjustment;Health ...

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    • Authors: Corey Berger
    • Date: Oct 2018
    • Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
  • 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 ... basis. The article presents the potential advantages offered by the proponents as well as the criticisms ...

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    • 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
  • Chairperson's Corner
    Chairperson's Corner Recap of Health Section's 2014 events and member survey. ... Chairperson's Corner Recap of Health Section's 2014 events and member survey. Health economics ...

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    • Authors: Donna Kalin
    • Date: Jan 2014
    • Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care