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Potential Membership Shifts for Medicare Prescription Drug Plans
Potential Membership Shifts for Medicare Prescription Drug Plans Changes in CMS requirements ... significant changes in plan offerings since the program's inception, which is expected to result in membership ...- Authors: Shelly Brandel
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicare
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Direct Primary Care: Good for What Ails Us
access_alternatives/the-rebirth-of-concierge-care_hybtsypz.html?s= NCKD3bbDwTAy7B9Imn 8 Supra note 5. 9 Philip Eskew ... Woolhandler and David U. Himmelstein. 2014. “Administrative Work Con- sumes One-Sixth of U.S. Physicians’ Working ...- Authors: Gayle Brekke
- Date: May 2016
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health insurance; Health & Disability>Payment models
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A Conversation with Alan Mills, ND, FSA
had long pondered, namely to build a model of the U.S. health care system. It had become clear to me that ... do it for a health care system, perhaps even the U.S. health care system. Mary: From there, at the University ...- 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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Pay-for-Performance Through theLens of Unwarranted Variation inthe Delivery of Health Care
Tremendous paradoxes face all of us when weconsider the U.S. health care system. On theone hand, advanced technical ... are routinely missed. 2 In addition, although the U.S. economy is seen as one of the most efficient in ...- 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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Assessing Prescription Opioid Risk with Predictive Analytics
National Vital Statistics System. Mortality. CDC Wonder, Atlanta: U.S. Department of Health and Human ... Tamara M. Haegerich, and Roger Chou. Morbidity and Mortality Weekly Report: CDC Guideline for Prescribing ...- 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
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Dental Diagnosis Coding: The State of the Art
developed in England during the 1600s to classify mortality rates by cause. Over time, the level of sophistication ... indicate the codes’ focus on morbidity rather than mortality. ICD-10-CM is, therefore, different from the ...- Authors: Joanne E Fontana
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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The Evolution of the Individual Market (Part I)
some variables to demonstrate the formula impact. Table 1 shows the impact of using a SWAP rather than ... premium is $240, resulting in a $3 inadequacy. Table 1 American Academy of Actuaries Example of Risk ...- Authors: Gregory Fann
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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An Interview with David Cutler and Grace-Marie Turner
their ability to pay. It has been said that the U.S. health care system does not have any founding ... there weren’t a ton of dif- ferent ideas at that table on how to save money that weren’t already floating ...- Authors: Ksenia Whittal, Douglas Norris
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Change management; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Economics>Health economics; Public Policy; Public Policy
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Entrepreneurial Actuaries in Action—A Global Perspective of the Health Insurance Market
different products available, various delivery systems (U.S. vs. international), health care reform, reinsurance ... although other countries are ranked higher than the U.S. system in controlling costs, they also had longer ...- Authors: Michael Frank
- Date: Jan 2013
- Competency: Communication>Oral communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Mentoring; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Global Perspectives>Global markets; Health & Disability>Health insurance
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Abstracts of Health Articles from the North American Actuarial Journal
Abstracts of Health Articles from the North American Actuarial Journal Highlights of health related ... Abstract This research examines the efficiency of U.S. health insurers. It shows that more insurers are ...- Authors: Ian G Duncan
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy