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An Interview: Dr. Uwe Reinhardt
take in the health care system reforms. Assumptions;Episode-based payment;Health care costs;Health factors;Medical ... factors;Medical expenses;Payment reforms=Health care payment reforms;Risk adjustment; 9515 9/1/2009 12:00:00 ...- Authors: Mary Kindel Van der Heijde, Douglas Norris
- Date: Sep 2009
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Actuarial Profession>Traditional careers; Enterprise Risk Management; Health & Disability>Health risks; Health & Disability>Payment models
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Health Watch, June 2017, Issue 83
Health Watch, June 2017, Issue 83 Read the June 2017 issue of Health Watch, published by ... information exchanges;Health care reform;Health care quality;Health care costs 6442476742 6/1/2017 12:00:00 ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch, October 2018, Issue 87
Health Watch, October 2018, Issue 87 Read the October 2018 issue of Health Watch, published ... section activities. Health care costs;Health care quality;Health care reform;Health information exchanges;Health ...- Authors: Society of Actuaries
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Section 1332 Waivers: Coming Soon to a State Near You?
requirements of the Patient Protection and Affordable Care Act. The article focuses on specific opportunities ... Patient Protection and Affordable Care Act= PPACA=Affordable Care Act ;Individual health plans ;Group ...- Authors: Gregory Fann
- Date: May 2016
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy
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Bariatric Surgery Holds Promise for Patients and for Payors
Bariatric Surgery Holds Promise for Patients and for Payors An economic analysis ... health care costs supports the case for health plans to cover these procedures. Health care costs;Obesity;Value-based ...- Authors: John Dawson, Pierre-Yves Cremieux, Arindam Ghosh
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining
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Why so Many People Have Untreated Mental Health Conditions
devastating problems facing the US. Mental health care;Chronic illness management;High-deductible health ... health insurance plans;Payment models=Health care payment models;Strategic risks 6442483884 6/1/2018 12:00:00 ...- Authors: Dawn Motovidlak
- Date: Jun 2018
- Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- 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>Health risks; Health & Disability>Payment models
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Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements
Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements This article ... ;; Health care reform; Health reinsurance; Budgets; Stop-loss insurance; Accountable care organizations=ACO ...- Authors: Anthony Rubiano
- Date: May 2012
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Health & Disability>Payment models; Public Policy
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Medicare Advantage Hierarchical Condition Categories: Updated Study Results
Medicare Advantage Hierarchical Condition Categories: Updated Study Results Summary and analysis of ... Advantage population Medicare;Risk adjustment;Health care reform 4294993961 1/1/2013 12:00:00 AM ...- Authors: Corey Berger, Eric P Goetsch
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Social Insurance>Medicare
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Health Watch, Issue 79, December 2015, Health Watch
teeism;Absenteeism;Smoking and mortality;health care reform;actuarial standards of practice;Regression ... efficiency;Product development;Health risks;Health care costs;marketing and distribution 6442465062 12/1/2015 ...- Authors: Society of Actuaries
- Date: Dec 2015
- Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Professional Values>Ethical standards; Relationship Management>Team leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Experience Studies & Data>Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science
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Strategies for Leveraging the ACA Risk Adjuster
of diagnosis coding, controlling member mix, and care management in order to mitigate risks and gain from ... score;Healthcare Reform;Coding Improvement;Affordable Care Act;Commercial risk adjuster 6442451575 10/1/2013 ...- Authors: Jason Siegel
- Date: Oct 2013
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks