Description: What you need to know about risk scores to be competitive in the Medicare Advantage market.

Description: Mining Electronic Health Records using a Natural Language Processor.

Description: Discussion of direct primary care and how it helps with several challenges in health care today. DPC improves care coordination, improves outcomes, improves doctor and patient satisfaction, and reduces spending. DPC successes promote the view that primary care should not be covered by insurance; rather, it should be paid for directly.

Description: As providers are considering accountable and value based care models, it is critical to strategically think through how to achieve a sustainable business model into the future. This requires actuarial and clinical/provider capabilities to assess the care management and financial levers to help a client through the transition.

Description: This article describes seven results from behavioral finance that actuaries may find useful: heuristics, the endowment effect, loss aversion, prospect theory, satisficing, strategic thinking and agent-based modeling.

Description: We propose using premiums and tax revenue to fund high-cost individuals in the Individual ACA market.

Description: The article gives actuaries an introduction to Academy Health, the notable health policy research organization.

Description: Read the February 2018 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.

Description: What No One Ever Told Me About the Rate Filing Process: how to deal the unspoken rules and politics. From Health Section News, December 2000, Issue No. 39.

Description: Introduces the new behavioral finance subgroup and talks about why such a subgroup is needed.