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Provider Excess Insurance Contract Considerations
Provider Excess Insurance Contract Considerations Provider Excess is an insurance coverage offered ... to health care provider organizations that have a capitation agreement with a manged care organization ...- Authors: Gregory Demars
- Date: Nov 2007
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Reinsurance News
- Topics: Reinsurance>Health reinsurance
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Measurement of Healthcare Quality and Efficiency: Resources for Healthcare Professionals - Updated
separate document. Accountable care organizations= ACO;Health care reform;Health economics;Health information ... information technology;Payment reforms=Health care payment reforms;Risk measurement;Risk metrics;Social ...- Authors: Ian G Duncan, Greger J Vigen, Sheryl Coughlin
- Date: Dec 2013
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Topics: Health & Disability>Health care quality; Technology & Applications>Analytics and informatics
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Catastrophic medical excess reinsurance coverage and claim trends
overview of coverage and claim trends for managed care medical excess of loss insurance and reinsurance ... catastrophic claims . reinsurance treaty;health care costs;health insurance ;health reinsurance ;health ...- Authors: Mark Troutman
- Date: Mar 2016
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Reinsurance News
- Topics: Reinsurance>Health reinsurance
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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies ... Health care fraud;Predictive modeling;Medicare;Health insurance;Health economics;Health care costs;Data ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; 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: Risk Management
- Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
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Measurement of Healthcare Quality and Efficiency: Resources for Healthcare Professionals Updated
separate document. Accountable care organizations= ACO;Health care reform;Health economics;Health information ... information technology;Payment reforms=Health care payment reforms;Risk measurement;Risk metrics;Social ...- Authors: Ian G Duncan, Greger J Vigen, Sheryl Coughlin
- Date: Jan 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Topics: Health & Disability>Health care quality; Technology & Applications>Analytics and informatics
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Medicare + Choices: Impact of Self-Selection
Medicare + Choices: Impact of Self-Selection Panelists discuss different aspects ... management;Health care costs;Health insurance;Health maintenance organization=HMO ;Health risks;Managed care;Medicare;Risk ...- Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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The Individual ACA Market—What’s Next?
risk profile between the transitional Affordable Care Act (ACA) period (2014-2016) and under the final ... take on substantially more risk. PPACA;Affordable Care Act;Individual health plans;Health insurance;Risk ...- Authors: Kurt Wrobel
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance; Pensions & Retirement>Risk management; Public Policy
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Strategies for Leveraging the ACA Risk Adjuster
of diagnosis coding, controlling member mix, and care management in order to mitigate risks and gain from ... score;Healthcare Reform;Coding Improvement;Affordable Care Act;Commercial risk adjuster 6442451575 10/1/2013 ...- Authors: Jason Siegel
- Date: Oct 2013
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks
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Avian Flu: Bracing for a Pandemic
Avian Flu: Bracing for a Pandemic Discussion of the economics of a possible H5N1 pandemic, and ... Asset liability management=ALM;Assumptions;Health care costs;Risk-based capital=RBC;Mortality risk; 6734 ...- Authors: Darrell Knapp
- Date: Jul 2006
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Topics: Economics>Health economics; Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Operational risks; Life Insurance>Underwriting - Life Insurance
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Medicaid Work Requirements: Enrollment Impact of Different Policies
Medicaid Work Requirements: Enrollment Impact of Different Policies Article provides a ... Health economics;Health policy;Health risks;Health care reform;Lapse rates;Macroeconomics;Medicaid;Predictive ...- Authors: Colby Schaeffer, Nicholas Gersch
- Date: Jun 2018
- Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Forecasting