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Research Paper Review: “Measuring Consumer Valuation of Limited Provider Networks”
Research Paper Review: “Measuring Consumer Valuation of Limited Provider Networks” The Behavioral ... and narrow networks. Behavioral economics;Managed care;Health insurance 6442468668 5/1/2016 12:00:00 ...- Authors: Brian Plaskow, John Kinney, Sarah Hoover
- Date: May 2016
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics; Health & Disability>Health insurance
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Entrepreneurial Actuaries in Action—A Global Perspective of the Health Insurance Market
course was to provide an over- view of the health care insurance industry, includ- ing different products ... delivery systems (U.S. vs. international), health care reform, reinsurance and capital markets. We expanded ...- Authors: Michael Frank
- Date: Jan 2013
- Competency: Communication>Oral communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Mentoring; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Global Perspectives>Global markets; Health & Disability>Health insurance
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New Behavioral Finance Subgroup
incentives to influence behavior. The rise of managed care marked a period of insurers overtly attempting ... influencing behaviors. One example of this was using primary care physicians (PCPs) as gatekeepers and using ...- Authors: John Stark
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics
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Medicare Advantage risk scores – Are you competitive?
status of their populations continues to be a primary key to their success. This article updates those ... member based on ICD- 10 diagnosis codes from health care claims. A member is assigned an HCC if an ICD- 10 ...- Authors: Corey Berger
- Date: Oct 2018
- Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
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What No One Ever Told Me About the Rate Filing Process
filing. As actuaries working on rate filings, our primary method of presenting or communicating a proposed ... impact on the timing of regulatory approval. b) Direct Consumer Accountability -- Many times, the DOI ...- Authors: Karl Volkmar
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Understanding ORSA: Risk, Solvency and Beyond
individual insurers writing at least $500 million in direct written and nonaffiliate assumed premium are subject ... insurance groups writing at least $1 billion in direct written and nonaffiliate assumed premium are also ...- Authors: Elisabetta Russo, Lee H Resnick, Jacky Kwan
- Date: Jan 2014
- Competency: Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk categories; Enterprise Risk Management>Risk measurement - ERM; Finance & Investments>Risk measurement - Finance & Investments
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Mining Electronic Health Records to Achieve the Triple Aim
the triple aim of providing patients with quality care and optimal experience at a lower cost. The challenge ... as it shifts from fee-for-service to value-based care. This rapid transformation is offering unprecedented ...- Authors: Lillian Dittrick
- Date: Mar 2017
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Predictive Analytics
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A Conversation with Alan Mills, ND, FSA
the U.S. health care system. It had become clear to me that to solve our health care system problems ... I could do it for a health care system, perhaps even the U.S. health care system. Mary: From there, ...- Authors: Mary Moran
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods>Simulation
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New Report on Evaluating Payment Models for High-Cost Curative Therapies
therapies is growing, but traditional payment for care—where cost is incurred up front at the time of ... between the up- front treatment costs, delivery of care to patients and long- term realization of clinical ...- Authors: Didier Serre
- Date: Mar 2019
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models
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Behavioral Finance Concepts for Actuaries
Behavioral Finance Concepts for Actuaries This article describes seven results from behavioral ... this topic, and how it can be applied in health care, see the recent Society of Actuaries’ (SOA) research ...- Authors: John Stark
- Date: Jan 2014
- Competency: Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics