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  • Reducing Medical Cost Trend With Concierge Services and Enhanced Digital Tools
    a 2016 study in JAMA Internal Medicine by Frank S. Drescher and Brenda E. Sirovich reports that advanced ... optimized their utilization in two ways, as shown in Table  1. First, they reduced their use of four categories ...

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    • Authors: Edward Cymerys
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health information technology
  • An Actuarial Model to Improve Health and Reduce Costs
    Beckman Chronic disease accounts for 86 percent of U.S. health care costs and an ever-increasing share of ... Diabetes Association, Economic Costs of Diabetes in the U.S. in 2012, http://care.diabetesjournals.org/cont ...

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    • Authors: Ken Beckman
    • Date: Oct 2017
    • Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
    • 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>Payment models; Public Policy
  • ASOPs, Anti- Selection, Affordability and ACA Altern
    sellers; and several legal battles that reached the U.S. Supreme Court had been weathered. In the last year ... note 4; http://www.actuarialstandardsboard.org/table -contents -standards -library/ 22 Supra, note ...

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    • Authors: Gregory Fann
    • Date: Nov 2016
    • Competency: Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Standards of practice; Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
  • Considerations for Surplus Determination under ACA
    There are five separate actionable outcomes (see Table 1). For a health care insurer that is between 200 ... He can be reached at richard.tash@optum. com Table 1: Risk-Based Capital authoritative action Outcomes ...

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    • Authors: Daniel Pribe, Richard Tash, David M Tuomala
    • Date: May 2014
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
  • Accountable Care Organizations: An Untapped Opportunity
    third-party, objective analysis when they are at the table bargain- 8 | september 2010 | Health Watch area ... health care costs if actuaries had been at the table with providers earlier in the process. ACO leadership ...

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    • Authors: Jim Toole, Sara Teppema
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
  • Leadership Learnings from the Affordable Care Act
    Leadership Learnings from the Affordable Care Act The editorial shares observations and lessons learned ... government leaders say they want to improve the U.S. health care system. They continue to disagree ...

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    • Authors: Karin Swenson-Moore
    • Date: Feb 2014
    • Competency: Leadership>Thought leadership; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: The Actuary Magazine
    • Topics: Actuarial Profession>Management skills; Health & Disability>Health care; Health & Disability>Health insurance