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What does ERM mean for Health Practitioners?
What does ERM mean for Health Practitioners? In this article, the author discusses ... insurance company, and presents a summary of Aetna's experience with ERM as a case study. Risk-based capital=RBC;Risk ...- Authors: Max Rudolph
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Relationship Management>Staff management and motivation; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Enterprise Risk Management; Modeling & Statistical Methods>Forecasting
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Underwriting Gain in Managed Medicaid: Starting the Conversation
Underwriting Gain in Managed Medicaid: Starting the Conversation According to ... Conversation According to the Actuarial Standards Board’s Actuarial Standard of Practice No. 49 (ASOP 49), actuarially ...- Authors: Jaredd Martin Keith Simons, James Randolph Piekut
- Date: Nov 2019
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Scenario generation; Modeling & Statistical Methods>Simulation
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October issue of Health Watch
op cit. 10 Dieguez, G., Alston, M., & Tomicki, S. (May 21, 2018). A Primer on Prescription Drug Rebates: ... commonly represented by the U.S. Treasury rate, which can be found on the U.S. Treasury site.11 Beta is ...- Authors: Society of Actuaries
- Date: Nov 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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June 2019 issue of Health Watch
HEALTH SECTION I S S U E 8 9 • J UN E 2 0 1 9 3 Letter From the Editor By Marilyn McGa in ... rising health care costs in the United States. The U.S. spends roughly 18 percent of its gross domestic ...- Authors: Society of Actuaries
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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October 2019 issue of Health Watch
quality of sessions as shown by the ratings in Table 1. Table 1 Health Meeting Ratings by Attendees Year ... current U.S. market expansion started in the third quarter of 2009, making this the longest in U.S. history ...- Authors: Society of Actuaries
- Date: Oct 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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April 2020 issue of Health Watch
blockchain that make it useful are shown in the table in Figure 3. Figure 3 Uses of Blockchain Property ... 1146/annurev. publhealth.20.1.361#_i4. 2 Kaupp, G. S. & Lynch, S. B. (2002). To Regain Control of Drug Costs ...- Authors: Society of Actuaries
- Date: Apr 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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A Mental Health State of the Union
mental health and health care in the US, as were it's heading moving forward. Mental health care, wellness ... significantly, has been a defining decision in my life’s path and is the reason I am able to maintain a mentally ...- Authors: Traci Leigh Hughes
- Date: May 2023
- Competency: Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care
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February issue of Health Watch
Conference March 1–4 | Las Vegas, NV Life & Annuity Symposium May 4–5 | Saint Louis, MO Health Meeting ... example, the U.S. Health Resources and Services Administra- tion (HRSA), an agency of the U.S. Department ...- Authors: Society of Actuaries
- Date: Feb 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
improve credibility enough that a larger provider's own prior period experience can be used directly, ... for providers to trust. Questions of the form “it's not clear or fair that I should be measured based ...
- 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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Is Your Integrated Delivery System Throwing Away Free Money?
bid characteristics and plan financials shown in Table 1. We have highlighted the key numbers in dark ... increase by $26.25 PMPM (highlighted in yellow in Table 2). Since CMS funds these claims, the increased ...- Authors: Karan Rustagi
- Date: Feb 2018
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development; Health & Disability>Payment models; Social Insurance>Medicare