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When Affordability Savings Do Not Reduce Costs
Affordability Savings Do Not Reduce Costs Regression to the mean is a phenomenon that arises when comparing sequential ... closer to the average. Health care actuaries need to understand and be able to mitigate the effects of regression ...- Authors: Tony Pistilli
- Date: Dec 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Regression analysis; Predictive Analytics>Modeling techniques; Predictive Analytics>Quality control & model governance
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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 Application of Data Blending to Resolve Unrelated Dimensions: A Tableau Use-Case for Calculating Per Member Per Year
The Application of Data Blending to Resolve Unrelated Dimensions: A Tableau Use-Case for Calculating ... monthly claims data for members, including their medical visits and ACO program eligibility. This data can ...- Date: May 2023
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Technology & Applications; Technology & Applications>Business intelligence; Technology & Applications>Computer science; Experience Studies & Data>Rate calculations; Experience Studies & Data>Table construction; Technology & Applications>Visualization
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The Modernization of Medigap Plans-Legislative Summary
The Modernization of Medigap Plans-Legislative Summary This article discusses the legislative summary ... summary of the changes that will occur with the new Medigap policies, which will be effective on or after ...- Authors: Marianne Miller
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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The Modernization of Medigap Plans–Managing the Change
The Modernization of Medigap Plans–Managing the Change This article discusses planning for the changes ... changes that will occur with the new Medigap policies, which will be effective on or after June 1, 2010.- Authors: Gail M Lawrence
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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Provider Risk-Sharing and Random Noise
Provider Risk-Sharing and Random Noise ... Discussion and Opinion on how randomness affects measurement of provider contracting risk-sharing agreements ...- Authors: Thomas Messer
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Provider networks; Health & Disability>Provider risk
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Behavioral Economics: Overview and Healthcare Applications
Applications This article provides an overview of behavioral economic theory as it relates to health and welfare ... insurance plans and provides summaries of two sample applications of the theories: enrollment in health insurance ...- Authors: Randy P Herman, Tony Pistilli, Brian Plaskow, Jeffrey Chanin
- Date: Aug 2020
- Competency: External Forces & Industry Knowledge; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Economics; Economics>Behavioral economics; Economics>Health economics; Health & Disability; Health & Disability>Health care
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Changing With the Times: The Past and the Future of ACA Risk Adjustment
Changing With the Times: The Past and the Future of ACA Risk Adjustment ACA risk adjustment has now ... in play for years. The original intent of risk adjustment was to help stabilize the market through measuring ...- 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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Timing’s Everything: The Impact of Benefit Rush
Timing’s Everything: The Impact of Benefit Rush Overview of a benefit rush and its effects on companies ...- Authors: Application Administrator
- Date: May 2008
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Medicare versus Private HealthInsurance: The Cost of Administration
Medicare versus Private HealthInsurance: The Cost of Administration This article takes a comparative ... Medicare and Private Health Insurance and examines the cost of administration. From Health Watch Newsletter ...- Authors: Mark E Litow
- Date: May 2006
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance