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Soundbites from the American Academy of Actuaries' Health Practice Council Activities
Soundbites from the American Academy of Actuaries' Health Practice Council Activities Updates ... Activities Updates on the efforts of the Academy’s health practice council. its work groups and task ...- Authors: Heather E Jerbi, Tim M Mahony
- Date: May 2011
- Competency: Communication>Written communication; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability; Public Policy
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Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews Identifying ... payments to Medicare Advantage plans. Milliman's HCC prevalence study illustrates the significant variations ...- Authors: Corey Berger, Eric P Goetsch
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
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Health Watch Issue 73, October 2013
published in the Federal Register on June 19, the U.S. Department of Health and Human Services (HHS) states ... with an edito-rial focus on the implications of U.S. health care reform. In this month’s Chairperson’s ...- Authors: Karen Perry, Society of Actuaries
- Date: Oct 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
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Navigating Cost-Sharing Reduction Subsidy Defunding
of 73 percent, 87 percent, and 94 percent (see Table 1). Eligibility for each of the cost- sharing variants ... cost sharing was a major driver of enrollment.2 Table 1 Enrollment in CSR Plans by Eligible Income (2017) ...- Authors: Michael Cohen, Peter van Laarhoven
- Date: Mar 2019
- Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy
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Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea?
Estimate is Actuarial By Steven Siegel 40 The U.S. Health Care Revolution: Give Me an Incentivized ... t t p : / / w w w . m a s s m e d . o r g / A M / T e m p l a t e . c f m ? S e c t i o n = H o m e 6 ...- 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
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Medicare Advantage risk scores – Are you competitive?
Medicare ... Non-Duals Duals Av er ag e N um be r o f H CC s Member Category Average Number of HCCs Per Member ... 4 95 –9 9 Av er ag e N um be r o f H CC s Age Group Average Number of HCCs Per Member by Age ...- 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
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An Actuarial Model to Improve Health and Reduce Costs
Beckman Chronic disease accounts for 86 percent of U.S. health care costs and an ever-increasing share of ... Diabetes Association, Economic Costs of Diabetes in the U.S. in 2012, http://care.diabetesjournals.org/cont ...- Authors: Ken Beckman
- Date: Oct 2017
- Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Health Watch, November 2016, Issue 81
Wright 48 The State of Predictive Analytics in U.S. Health Care By the Society of Actuaries Health ... Sarah Osborne and Linda Williams. Interactive table discussions and a networking lunch helped to wrap ...- 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
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Modeling Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance
conditions that if =M, then L =1/2 and vice versa. S is an “s”-shaped monotonically increasing function with ... if z=1. A special case for S is a step function with S(z)=0 if z <1, S(z) =1 if z >1 and if z=1 (Figure ...- Authors: D Wei
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health risks; Modeling & Statistical Methods; Technology & Applications>Analytics and informatics
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Health Watch, Issue 72, May 2013
ticipate in the major changes occurring within the U.S. health care system. I’ll also expand the focus ... we exceed the tar- get. For example, as shown in Table 1, the hospital provider partner can exercise a ...- 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