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Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment”
selection was practiced in ACA markets before 2018.[17] As risk adjustment has always been viewed as imprecise ... Adjustment, Reinsurance, and Risk Corridors. KFF, Aug. 17, 2016, https://www.kff.org/health-reform/issue-b ...- Authors: Greg Fann
- Date: Jun 2022
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Health & Disability>Health care
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The Potential of Infra-Low Frequency Neurofeedback to Reduce Medical Claim Costs and Dramatically Improve Patients’ Lives
Healthcare Solutions: covers unspecified neurofeedback[17] New Hampshire Celtic Insurance Company, owned by ... /policies/behavioral-policies/NV.CP.BH.300.pdf. [17] Anthem Blue Cross and Blue Shield, “Medical Policies ...
- Date: Jul 2023
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance
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Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2
Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2 This is Part 2 of ... independent source for health policy research) at a May 17, 2023, Senate subcommittee hearing titled “Examining ...
- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance; Public Policy; Public Policy
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When Affordability Savings Do Not Reduce Costs
When Affordability Savings Do Not Reduce Costs Regression to the mean is a phenomenon that ... “Sultan Kosen,” Wikipedia, last updated November 17, 2020, https://en.wikipedia.org/wiki/Sultan_K%C3%B6sen ...
- 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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Is there currently an underwriting cycle?
billion of net premiums written in 2010. There were 17 such Blues affiliates in this premium range, as ... I obtained the five-year history pages of these 17 plans’ annual statement filings in 2011, 2007 and ...- Authors: Mark Shaw
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Systematic risk; Health & Disability>Health insurance
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Chairperson's Corner
Chairperson's Corner Chairperson's note to readers. health insurance;Health care ... first began, it was Initiative 17|10, representing the fact that 17 percent of the U.S. gross domestic ...- Authors: Sarah Osborne
- Date: Jun 2018
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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CSRs and Market Stabilization: What’s the Real Story?
FPL 24% 150–200% FPL 17% 200–250% FPL 3% FEBRUARY 2018 HEALTH WATCH | 17 Nineteen State Attorneys ... reimbursements; spread evenly across all plans. 17 Silver Load Insurers load premiums to cover loss ...- Authors: Dean Ratzlaff
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Dental Diagnosis Coding: The State of the Art
improving quality and delivering evidence-based care.17 Changes to the industry will be challenging: Information ... “The History of Medical Coding.” Retrieved March 17, 2017, from http://www.all-things-medical-billing ...- Authors: Joanne E Fontana
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Health Watch, May 2011, Issue 66
December 2010, HHS released interim final regulations (IFRs) to implement the MLR requirements under ACA. In ... submitted comments1 addressing technical aspects of the IFRs to improve clarity and internal consistency, including ...- Authors: Society of Actuaries
- Date: May 2011
- Publication Name: Health Watch
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Editor's Corner
Editor's Corner Editor's comments on the publication Critical illness ... gov/pubmed/22361992. 4 http://healthaff airs.org/blog/2015/02/17/in-the-debate-about-cost-and-eff icacy- pcsk9-i ...- Authors: Valerie Nelson
- Date: Dec 2015
- Competency: Communication>Written communication
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks