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Harnessing The Forces of Markets and Innovation
Harnessing The Forces of Markets and Innovation This paper discusses the quality of healthcare verses the price of healthcare and puruses individuals and doctors making decisions for their own ...- Authors: Ian G Duncan
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge; External Forces & Industry Knowledge>Actuarial theory in business context
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicaid; Social Insurance>Medicare
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Visions for the Future of the U.S. Health Care System – e-book of essays
Visions for the Future of the U.S. Health Care System – e-book of essays A glossary of terms. Antiselection;Cancer;Coinsurance;Health insurance;Medicaid;Medical expenses;Medicare;Portability; ...- Authors: Society of Actuaries
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Long-term Care>Medical expenses; Reinsurance; Reinsurance>Coinsurance; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Social Security
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Health Reform - A Proposal
Health Reform - A Proposal Essay reforming healthcare where participants have a vested interest in reaching the best answer. Cancer;Diabetes;Employee contributions;Employer contributions;Health ...- Authors: Timothy Luedtke
- Date: Jun 2009
- Competency: Communication>Persuasive communication; Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
- Topics: Enterprise Risk Management>Compliance; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Life Insurance; Life Insurance>Underwriting - Life Insurance; Life Insurance>Whole life; Long-term Care>Medical expenses; Pensions & Retirement>Funding; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Social Security; Health & Disability>Electronic medical record
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Risk Adjustment in State Medicaid Programs
Risk Adjustment in State Medicaid Programs This article discusses some of the most important considerations in implementing risk adjustment within a Medicaid Managed Care program. From Health ...- Authors: Robert Damler, Ross Winkelman
- Date: Jan 2008
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: 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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Medicaid Innovation: The Need for Actuaries in the Medicaid Program
Medicaid Innovation: The Need for Actuaries in the Medicaid Program Background on Medicaid and description of recent changes in the program. Medicaid;Payment Reform;Payment Models;Social ...- Authors: Christine Bach
- Date: May 2016
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid
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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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Social Insurance and Public Finance Pension Sub-committee Research Project Synopsis
Social Insurance and Public Finance Pension Sub-committee Research Project Synopsis Feature article presenting a synopsis of the Social Insurance and Public Finance Pension Sub-committee. Public ...- Authors: Society of Actuaries
- Date: Jun 2013
- Competency: Communication>Written communication
- Publication Name: In The Public Interest
- Topics: Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Postemployment benefits; Social Insurance>Social Security; Social Insurance>Survivor benefits
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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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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