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Working with the CDC on Preventive Care as a Public Health Initiative
Working with the CDC on Preventive Care as a Public Health Initiative Volunteers and staff from the SOA are working with the Centers for Disease Control on public health initiatives to improve ...- Authors: Rebecca Owen
- Date: May 2016
- Competency: Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health risks
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Medicare Advantage: Seven Considerations to Achieve August Resubmission Success
Medicare Advantage: Seven Considerations to Achieve August Resubmission Success Strategies to position Medicare Advantage plans for success during August resubmission. rebate reallocation; ...- Authors: Susan Silseth, Matthew Timm, Kelly Backes, Hillary Millican
- Date: Oct 2017
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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Chairperson’s Corner
Chairperson’s Corner This article provides the perspective of the Health Section's chairperson on Section activities, educational programs and the US healthcare environment. Health ...- Authors: Kevin Law
- Date: Jan 2013
- Competency: Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy
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A Road Less Traveled
A Road Less Traveled The article described recent major advances in measurement of health programs and providers in the public and private sector. Health care costs;Health care quality;Health ...- Authors: Greger J Vigen
- Date: Jul 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care
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AI and EMRs: Pioneering the New Frontier in Healthcare Actuarial Practice
AI and EMRs: Pioneering the New Frontier in Healthcare Actuarial Practice In the evolving realm of healthcare actuarial practice, value-based contracts are reshaping the landscape. This article ...- Authors: Netanel Lederer
- Date: May 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health information technology; Health & Disability>Provider risk; Health & Disability>Electronic medical record
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Medigap: One Part of a Quest for a Fantastic Healthcare Future
Medigap: One Part of a Quest for a Fantastic Healthcare Future Med Supp 5/31/2019 12:00:00 AM ...- Authors: Rajiv Sood
- Date: May 2019
- Competency: External Forces & Industry Knowledge
- Publication Name: News Direct
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks
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A Mental Health State of the Union
A Mental Health State of the Union This article is intended to inform readers about the current state of mental health and health care in the US, as were it's heading moving forward. Mental ...- 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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Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment”
Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment” ACA risk adjustment is intended to "bridge the gap" between allowed rates and actuarial rates.- 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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Better Care Through Understanding the Customer Not Just the Patient
As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical data. That information is captured while patients are in health care facilities. Yet ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; 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; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Seeing The Big Picture: ERM In The Health Care Industry
Seeing The Big Picture: ERM In The Health Care Industry Article discussing the use of enterprise risk management in the health care industry. Enterprise risk management=ERM; Seeing The Big ...- Authors: Robert F Wolf
- Date: Apr 2009
- Competency: External Forces & Industry Knowledge
- Publication Name: The Actuary Magazine
- Topics: Enterprise Risk Management; Health & Disability>Health care