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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 Cost Savings and Improved Quality This article describes the results of three years of work by Blue Shield ...- 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
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Health Insurance - Legislation and Inflation
Health Insurance - Legislation and Inflation Discussion of possible national health care reform measures, including coverage for the unemployed, employer-mandated plans, publicly funded and ...- Authors: Richard H Hoffman, William C Hsiao, Robert J Myers, William Thomas
- Date: Apr 1975
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Public Policy
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Developing a Population Health Management Program for a Long-Term Care Insurance Product
Developing a Population Health Management Program for a Long-Term Care Insurance Product Medical management programs have traditionally addressed more acute and short-term issues with chronic ...- Authors: Jeff Underhill, Don Fetterolf, Geoffrey Walton
- Date: Dec 2007
- Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Health risks; Long-term Care>Chronic health management - Long-term Care; Technology & Applications>Analytics and informatics
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Bariatric Surgery Holds Promise for Patients and for Payors
Bariatric Surgery Holds Promise for Patients and for Payors An economic analysis of bariatric surgery and health care costs supports the case for health plans to cover these procedures. Health ...- Authors: John Dawson, Pierre-Yves Cremieux, Arindam Ghosh
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining
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Trends In Medical Benefit Plan Design To Control Claim Costs
Trends In Medical Benefit Plan Design To Control Claim Costs This session addressed the following regarding benefit plan design to control claim costs: What has been tried? What works? and What ...- Authors: Application Administrator, Peter B Hutzel, Jerry E Lusk, James Miles
- Date: May 1982
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Individual Disability Income Problems
Individual Disability Income Problems Panel discussion on current issues, trends, and methodology in individual disability income insurance, including overinsurance, pricing, financial reporting, ...- Authors: Anthony J Houghton, William J Taylor, Martin L Zeffert, Benjamin J Jones
- Date: Oct 1977
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Professional associations; Economics>Health economics; Health & Disability>Disability insurance; Public Policy
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Living Benefit or Accelerated Death Benefit Rider Options
Living Benefit or Accelerated Death Benefit Rider Options The purpose of this article is to discuss a number of benefits and their nuances and to outline some of the differences between each ...- Authors: Michelle Krysiak
- Date: May 2014
- Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: News Direct
- Topics: Health & Disability>Critical illness insurance; Long-term Care>Long-term care insurance
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Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea?
Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea? An overview of the issues behind reimbursing providers on a bundled or packaged basis. The article presents the ...- Authors: Todd Lueders
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Public Policy
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To Be Continued - Group Insurance Programs - Special Financing Arrangements
To Be Continued - Group Insurance Programs - Special Financing Arrangements A discussion of funding arrangements that can reduce the costs of providing medical coverage through lower reserves or ...- Authors: Stephen Carter
- Date: Jan 1978
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Best practices; Finance & Investments; Financial Reporting & Accounting>Tax accounting; Health & Disability>Health insurance
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Do Individuals Make Sensible Health Insurance Decisions
Do Individuals Make Sensible Health Insurance Decisions New research shows that we often make sub-optimal choices, when selecting a health insurance plan, that lead to unnecessary out-of-pocket ...- Authors: Alexander Leung, Jonah Yearick, Randy P Herman
- Date: Nov 2016
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics; Economics>Health economics; Health & Disability>Health insurance; Technology & Applications>E-commerce