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Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements
ACO budgeting and pricing of stoploss coverage, including: 1) attribution of members; 2) claim carve outs; ... stoploss terms; 4) providers gaming the system and 5) credibility of data. ;; Health care reform; Health ...- 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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Ascertainment Bias in Estimating Rates of Onset of Early-Onset Alzheimer's Disease: A Critical Illness Insurance Application
Ascertainment Bias in Estimating Rates of Onset of Early-Onset Alzheimer's Disease: A Critical Illness ... Insurance Application Presentation on estimating rates of early-onset Alzheimer's Disease. This document ...- Authors: Carolina Espinosa Castaneda
- Date: Jan 2007
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks
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Prescription Drug Use in an Individual Exchange Population
Prescription Drug Use in an Individual Exchange Population An analysis of prescription ... Individual Exchange Population An analysis of prescription drug use in the Kansas individual market Health care ...- Authors: Rebecca Owen
- Date: Apr 2016
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Health & Disability>Health risks
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Medicare Advantage Hierarchical Condition Categories: Updated Study Results
Medicare Advantage Hierarchical Condition Categories: Updated Study Results Summary and analysis ... Results Summary and analysis of the diseases and conditions exhibited in the Medicare Advantage population ...- 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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Why so Many People Have Untreated Mental Health Conditions
People Have Untreated Mental Health Conditions The article reviews high-deductible health plans and ... mental health providers as being the root of 3 devastating problems facing the US. Mental health care;Chronic ...- 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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Health Watch, February 2018, Issue 85
Health Watch, February 2018, Issue 85 Read the February 2018 issue of Health Watch, published ... 2018, Issue 85 Read the February 2018 issue of Health Watch, published by the Health Section. Practical ...- Authors: Society of Actuaries
- Date: Feb 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