21
-
30
of
43
results (0.67 seconds)
Sort By:
-
Health Watch, June 2018, Issue 86
Health Watch, June 2018, Issue 86 Read the June 2018 issue of Health Watch, published by the ... June 2018, Issue 86 Read the June 2018 issue of Health Watch, published by the Health Section. Practical ...- Authors: Society of Actuaries
- Date: Jun 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>Payment models; Health & Disability>Public financing - Health & Disability
-
Building Actuarial Cost Models From Health Care Claims Data
across the country generates billions of claim records annually. Claim records originate as a form of invoice ... Providers submit the claims to the liable payer (typically a health plan, government agency or the patient) ...- Authors: William Bednar
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence
-
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
-
Benchmarking to Maximize Managed Care Performance
Benchmarking to Maximize Managed Care Performance How benchmarking actual performance to ... a published source is a useful tool in assessing the value added by a particular program or MCO, Issue ...- Authors: Susan McQuillian
- Date: Aug 2000
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
-
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
-
Population Risk Management: Identifying High-Risk Members to Reduce Costs
to the straight laser option. This is because the aggregating specific deductible applies to the group ... group in total, while the laser is applied strictly to an individual. Again, this point can be simply illustrated ...- Authors: Ian G Duncan
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
-
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
-
The Center for Health Care Strategy (CHCS)
The Center for Health Care Strategy (CHCS) CHCS is a nonprofit policy center focused on improving American ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Payment models; Public Policy
-
Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive ... Quality This article describes the results of three years of work by Blue Shield of California to collaborate ...- Authors: Edward Cymerys
- Date: May 2013
- Competency: Relationship Management>Relationships and trust; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Payment models
-
Mining Electronic Health Records to Achieve the Triple Aim
Mining Electronic Health Records to Achieve the Triple Aim Mining Electronic Health Records using a ...- Authors: Lillian Dittrick
- Date: Mar 2017
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Predictive Analytics