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A Comparative Analysis of Claims-Based Tools for Health Risk Assessment - 3M Comments
A Comparative Analysis of Claims-Based Tools for Health Risk Assessment - 3M Comments This one page paper highlights the results of the various comparisons for both R2 and MAPE at the individual ...- Authors: Society of Actuaries
- Date: Aug 2001
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Social Insurance>Medicare
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Rationing Health Care
Rationing Health Care This session is about rationing health care. From Record of Society of Actuaries Vol. 18, No. 4A. Budgets;Government-funded healthcare;Health care costs;Health care ...- Authors: Gregory Benesh, Howard Kurpit, Janet Carstens, Martin Gaynor, John B Crosby
- Date: Oct 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Ethical standards; Professional Values>Public interest representation
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Public Policy; Public Policy; Social Insurance>Medicaid
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Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration
Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration This article focuses on the capitation rate development methodology for the Medicare-Medicaid Financial Alignment ...- 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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A Brief Survey of Dual Eligibles and the ACA
A Brief Survey of Dual Eligibles and the ACA Beneficiaries who are eligible for both Medicare and Medicaid often have complex health needs. The two programs have not typically been well ...- Authors: Rebecca Owen
- Date: Jun 2013
- Competency: Professional Values>Practice expertise
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care; Health & Disability>Public financing - Health & Disability; Social Insurance>Medicaid; Social Insurance>Medicare
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Visions for the Future of the U.S. Health Care System - “Can We Capture Potential Health Care Savings Without a Federal Takeover?”
Visions for the Future of the U.S. Health Care System - “Can We Capture Potential Health Care Savings Without a Federal Takeover?” Essay reforming uninsured health care. Premiums; 7384 6/1/2009 ...- Authors: Application Administrator
- Date: Jun 2009
- Competency: Communication>Persuasive communication; Communication>Written communication; Leadership>Influence; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Topics: Health & Disability>Health care; Social Insurance
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U.S. Health Care - Where to Look for Reform
U.S. Health Care - Where to Look for Reform Essay discussing cost, quality and access of healthcare and then describes the need for rationing. Bankruptcy;Health care costs;Health care quality; ...- Authors: Sam Gutterman
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge
- Topics: Economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Social Insurance>Medicaid; Social Insurance>Medicare
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Education and Research Section Sessions at the Spring Health
Education and Research Section Sessions at the Spring Health By Ian Duncan Ian Duncan recaps the Education and Research (E&R) Section sponsored sessions and breakfast at the 2016 SOA ...- Authors: Ian G Duncan
- Date: Oct 2016
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Expanding Horizons
- Topics: Actuarial Profession>Qualifications; Actuarial Profession>Professional development; Enterprise Risk Management; Health & Disability>Health care; Social Insurance
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Health System Reform - Old Challenges, New Solutions
Health System Reform - Old Challenges, New Solutions Successful healthcare reform: First, it must help that must keep healthy people healthy. Second, it must help people mitigate or eliminate ...- Authors: Robert Stone
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Technical Skills & Analytical Problem Solving
- Topics: Finance & Investments; Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Social Insurance>Social Security
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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article compares the Prescription Drug Plan (PDP) market to the commercial individual market exchanges included ...- Authors: Shelly Brandel
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
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Summary of House of Representatives Tri-Committee Bill – H.R. 3200
Summary of House of Representatives Tri-Committee Bill – H.R. 3200 Summary of House of Representatives Tri-Committee Bill – H.R. 3200. Funding reform;Health care costs;Health care quality;Health ...- Authors: William Lane
- Date: Sep 2009
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare