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  • Genetic Testing, Medical Progress and the Health Insurance Industry
    Genetic Testing, Medical Progress and the Health Insurance Industry Discussion of how actuarial ... regards to Genetic Testing. Issue No. 45. Health care costs;Predictive modeling;Underwriting; 9416 4/1/2003 ...

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    • Authors: Bruce Pyenson
    • Date: Apr 2003
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Economics>Health economics
  • Effective Contracting with Pharmacy Benefit Managers: Protecting a plan sponsor’s resources
    Effective Contracting with Pharmacy Benefit Managers: Protecting a plan sponsor’s resources ... contracting with a PBM. Audits;Payment models=Health care payment models;Prescription drug costs;Fiduciary; ...

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    • Authors: Robert Gordon Cosway, Brian Anderson
    • Date: Feb 2010
    • Competency: Communication; Relationship Management>Relationships and trust
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality
  • Health Watch Article Contest on Provider Payment Reform
    Health Watch Article Contest on Provider Payment Reform Description and specifications for the health section's ... reform. Medical expenses;Payment models=Health care payment models; 9543 5/1/2010 12:00:00 AM ...

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    • Authors: Society of Actuaries
    • Date: May 2010
    • Competency: Communication>Written communication; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Economics>Health economics
  • Design and Pricing of Tiered Network Health Plans
    Design and Pricing of Tiered Network Health Plans This article discusses the advantages, logistical ... quality and cost-effectiveness standards. Accountable care organizations= ACO;Assumptions;Behavioral econo ...

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    • Authors: Peter Horman
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Modeling & Statistical Methods
  • Behavioral Economics: Overview and Healthcare Applications
    Behavioral Economics: Overview and Healthcare Applications This article provides an overview of ... created by the Patient Protection and Affordable Care Act, and product design considerations in light ...

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    • Authors: Randy P Herman, Tony Pistilli, Brian Plaskow, Jeffrey Chanin
    • Date: Aug 2020
    • Competency: External Forces & Industry Knowledge; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Economics; Economics>Behavioral economics; Economics>Health economics; Health & Disability; Health & Disability>Health care
  • Review: “Health Insurance for ‘Humans’: Information Friction
    Review: “Health Insurance for ‘Humans’: Information Friction A review of the academic article "Health ... " Behavioral economics;Health economics;Health care costs 6442471991 11/1/2016 12:00:00 AM ...

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    • Authors: Christopher Coulter, Kathleen Dobrzynski, Tyler Engel, Dorothy Andrews
    • Date: Nov 2016
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Economics>Behavioral economics; Economics>Health economics; Health & Disability>Health care
  • Do Individuals Make Sensible Health Insurance Decisions
    office visit copayment levels ($15 for pri- mary care physician (PCP)/$40 for specialist; $25 for PCP/$35 ... School of Business.1 For many Americans, health care spending represents a meaningful portion of their ...

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    • Authors: Alexander Leung, Jonah Yearick, Randy P Herman
    • Date: Nov 2016
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Economics>Behavioral economics; Economics>Health economics; Health & Disability>Health insurance; Technology & Applications>E-commerce
  • Generic Dispensing Rates: Silver Bullet No More?
    35 $27.93 $30.36 $31.94 -0.8% National Average Direct Subsidy $60.10 $53.08 $52.59 $53.97 $56.39 -6.2% ... maceutical space with all of the uncertainty in health care recently. Government regulation looms as a big ...

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    • Authors: Troy Filipek
    • Date: May 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Behavioral economics; Economics>Health economics; Social Insurance>Medicare
  • What does ERM mean for Health Practitioners?
    Why Care About Enterprise Risk Management? I n late 2008, the health insurance industry faced a number ... Garnett 10 New Member Impact on Medicaid Managed Care Costs By Bela Patel Fernandez and Jeff Smith ...

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    • Authors: Max Rudolph
    • Date: Feb 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Relationship Management>Staff management and motivation; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Enterprise Risk Management; Modeling & Statistical Methods>Forecasting
  • Soundbites from the American Academy of Actuaries’ Health Practice Council
    intended and unintended effects of different health care reform proposals. The model’s Web interface allows ... Academy’s Medicare Steering Committee and Health Care Quality Work Group submitted comments to Senators ...

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    • Authors: Heather E Jerbi, Melissa Lawler
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge; Leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Enterprise Risk Management>Risk measurement - ERM; Experience Studies & Data; Financial Reporting & Accounting; Health & Disability>Health care quality; Long-term Care; Public Policy