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  • Managing the Pharmacy Benefit Impacts to Pharmacy Trend
    Managing the Pharmacy Benefit Impacts to Pharmacy Trend This paper examines the impact at Harvard Pilgrim ... Pilgrim Health Care of the introduction of specialty networks, shift to mail-order prescriptions, shifts ...

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    • Authors: Bela Gorman, Jennifer Smagula, Laurie Doran
    • Date: May 2004
    • Competency: Communication>Written communication; External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Health & Disability>Health care
  • Considerations for Surplus Determination under ACA
    Considerations for Surplus Determination under ACA Discussion of the impact of the ACA on ... Surplus Determination under ACA Discussion of the impact of the ACA on RBS and required surplus for a health ...

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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
  • Chairperson's Corner
    Chairperson's Corner ... Hear from the chairperson on themes in the March 2017 issue of Health Watch, published by the Health Section ...

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    • Authors: Brian Pauley
    • Date: Mar 2017
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Medicare Advantage Star Ratings: Expectations for New Organizations This ... article makes organizations entering the MA market aware of the star rating climate, as well as short- ...

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    • Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • State of Utah Childrens Health Insurance Program CHIP Five-Year Pharmacy Analysis
    State of Utah Childrens Health Insurance Program CHIP Five-Year Pharmacy Analysis Established as part ... part of the 1998 Utah State legislative session, the State of Utah's Children's Health Insurance ...

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    • Authors: Dennis Kunimura
    • Date: May 2004
    • Competency: Leadership>Thought leadership; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Health & Disability>Health care; Public Policy
  • Why so Many People Have Untreated Mental Health Conditions
    People Have Untreated Mental Health Conditions The article reviews high-deductible health plans and ... mental health providers as being the root of 3 devastating problems facing the US. Mental health care;Chronic ...

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    • Authors: Dawn Motovidlak
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • 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>Health risks; Health & Disability>Payment models
  • Health Watch, February 2018, Issue 85
    Health Watch, February 2018, Issue 85 Read the February 2018 issue of Health Watch, published ... 2018, Issue 85 Read the February 2018 issue of Health Watch, published by the Health Section. Practical ...

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    • Authors: Society of Actuaries
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Immigration Reform and What It Could Mean for the Long-Term
    Immigration Reform and What It Could Mean for the Long-Term The article looks at potential changes in care ... demographics that could ultimately have an impact on the cost of long term care services. Long-term care;Long-term ...

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    • Authors: Brian Ulery
    • Date: Aug 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Long-Term Care News
    • Topics: Demography>Population data; Experience Studies & Data>Long-term care - Experience Studies & Data; Health & Disability>Health care; Long-term Care>Long-term care insurance; Long-term Care>Long-term care facilities & home care