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A Conversation with Alan Mills, ND, FSA
actuary with over 20 years of experience including a recent role as VP and Head of European actuarial for ... maryb7830@hotmail. com. Introduction: Following the Agent-Based Modeling and Simulation Workshop at ...- Authors: Mary Moran
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods>Simulation
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Early Findings from the ACA's Medicaid Expansion
Early Findings from the ACA's Medicaid Expansion Analysis of data from three Medicaid managed care ... and cost trends for newly eligible enrollees under the ACA's Medicaid expansion. Retention;Medicaid ...- Authors: Richard Marko, Sabrina Gibson, Joshua Kuai, Mitchell Cole
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicaid
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Pay-for-Performance Through theLens of Unwarranted Variation inthe Delivery of Health Care
Pay-for-Performance Through theLens of Unwarranted Variation inthe Delivery of Health Care This article deeply ... Pay-for-performance and presents curious findings through the lens of unwarranted variation. From Heath Watch Newsletter ...- Authors: David Wennberg
- Date: May 2006
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration
Reform Under The Medicare-Medicaid Financial Alignment Demonstration This article focuses on the capitation ... methodology for the Medicare-Medicaid Financial Alignment Demonstration. It also describes the background ...- Authors: Michael Cook, Shelly Brandel
- Date: May 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
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ERISA Preemption and Managed Care Organizations
Security Act (ERISA)of 1974 has had a largeimpact on the design and administration of self-funded employee ... legislation. And no provision has been the object of more legal scrutiny than the ERISA preemption clause. EERRIISSAA ...- Authors: Louis Lana
- Date: Sep 2001
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Public Policy
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Massachusetts Payment Reform from an Actuarial Perspective
Perspective The article is a case study of various actuarial concepts invovled in the design and implementtion ... implementtion of the AQC - a global budget provider payment arrangement implemented by Blue Cross Blue ...- Authors: Matthew Day, Jill Wilson
- Date: May 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Public Policy
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Consumer-Driven Health Care
Consumer-Driven Health Care Implications of Consumer-Driven Health Care to consumers, employers and ...- Authors: Stacey Muller
- Date: Apr 2000
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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What We Have Learned in the Last50 Years—and Aren’t Using
What We Have Learned in the Last50 Years—and Aren’t Using This article reviews underwriting and why ... has remained unchanged for 50 years. The unhealthy lifestyles of Americans are examined. From Health Watch ...- Authors: Chris E Stehno
- Date: May 2006
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Technology & Applications>Analytics and informatics
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Chairperson’s Corner
Chairperson’s Corner The Health Section Council Chairperson looks back at a historic year for the health care ...- Authors: Susan Pantely
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Practice expertise; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Actuarial Profession>Professional development; Economics>Health economics; Public Policy
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Assessing Prescription Opioid Risk with Predictive Analytics
Barbara Collier and Joseph Boschert According to the Centers for Disease Control and Preven-tion (CDC) ... more than 115 people die each day in the United States as a result of opioid over- dose and that prescription ...- Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; 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: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record