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Health Insurer Balance Sheets 10 Years After ACA
Insurance Issuers Based on analysis of data provided by S&P Global Market Intelligence HEALTH WATCH | 2 ... data provided by S&P Global Market Intelligence Based on analysis of data provided by S&P Global Market ...- Authors: Scott O'Neil Jones, Samuel Jay Shellabarger
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Affordable Care Act (ACA)
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An Interview with David Cutler and Grace-Marie Turner
their ability to pay. It has been said that the U.S. health care system does not have any founding ... there weren’t a ton of dif- ferent ideas at that table on how to save money that weren’t already floating ...- Authors: Ksenia Whittal, Douglas Norris
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Change management; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Economics>Health economics; Public Policy; Public Policy
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Responsible Machine Learning: Living Up to Our Professional Code of Conduct, ASOPs, and Corporate Requirements
selecting that technology.[1] Numerous use cases for AI’s impact on the health care industry are emerging on ... they have significant room for improvement. Duke’s Margolis Center for Health Policy released a paper ...- Authors: James Dolstad, Abby Steele
- Date: Aug 2022
- Competency: Professional Values; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Predictive Analytics
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Is Your Integrated Delivery System Throwing Away Free Money?
bid characteristics and plan financials shown in Table 1. We have highlighted the key numbers in dark ... increase by $26.25 PMPM (highlighted in yellow in Table 2). Since CMS funds these claims, the increased ...- Authors: Karan Rustagi
- Date: Feb 2018
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development; Health & Disability>Payment models; Social Insurance>Medicare
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Medical Out-of-Pocket Products Overview
MARCH 2017 HEALTH WATCH | 19 BENEFIT LEVELS Table 1 shows a broad range of benefit levels found in ... typical policy provisions. EXPECTED DISTRIBUTION Table 2 shows observed variations in expected distribution ...- Authors: Rex Durington
- Date: Mar 2017
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Complexity Science - A New Frontier for Actuarial Exploration
Complexity Science - A New Frontier for Actuarial Exploration Review of a report by Alan Mills introducing ... be the century of complexity.” —Stephen Hawking, 2000 “Wanna get it right this time. Complicated is ...- Authors: Steven Siegel
- Date: Jan 2011
- Competency: Leadership>Thought leadership; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Modeling & Statistical Methods
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December 2019 issue of Health Watch
TIMELINE FOR MEDICARE ADVANTAGE STAR RATINGS The table below illustrates the various aspects of the Star ... impact a Medi- care Advantage plan financially. Table A1 below gives the breakdown of the Quality Bonus ...- Authors: Society of Actuaries
- Date: Jan 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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New Contract Medicare Star Ratings: Why The Sudden Cliff?
TIMELINE FOR MEDICARE ADVANTAGE STAR RATINGS The table below illustrates the various aspects of the Star ... impact a Medi- care Advantage plan financially. Table A1 below gives the breakdown of the Quality Bonus ...- Authors: Suzanna-Grace Sayre, Danielle Beierle
- Date: Jan 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
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Accountable Care Organizations: An Untapped Opportunity
third-party, objective analysis when they are at the table bargain- 8 | september 2010 | Health Watch area ... health care costs if actuaries had been at the table with providers earlier in the process. ACO leadership ...- Authors: Jim Toole, Sara Teppema
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
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Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans?
Business Group on Health (NBGH), 11 percent of large U.S. employers have adopted direct-to-employer arrangements ... possibility for meaningful transformation within the U.S. health care system to a value-based approach. For ...- Authors: Andrew James Timcheck, Cory Gusland, Michael Gaal
- Date: Dec 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Payment models