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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2 Discover the key components of value-based care (VBC) contracts and their impact on provider ...- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Medicaid Underwriting Margin Update
Medicaid Underwriting Margin Update This project would update the Medicaid underwriting model and report to reflect emerging factors that materially impact financial results and Medicaid Managed ...- Authors: Society of Actuaries
- Date: Jul 2022
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability
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2023-health-meeting-session-9b
In this session, you will learn about key cost drivers in pharmacy trends, including but not limited to: New high-cost drugs, including gene therapies, that treat rare and/or expensive conditions ...- Authors: Society of Actuaries
- Date: Jan 2024
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability
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drivers-patterns-med
After three decades of relatively stable overall inflation trends, the United States has seen significant increases over the last twelve months. What could this mean for inflation in the medical ...- Authors: Brent Jensen, Douglas Norris
- Date: Aug 2023
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability
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2023-health-virtual-s06c
"Hear an overview of recent results and potential scenarios that may impact the future of the ACA market. Review recent reported industry level profitability before transitioning to a discussion ...- Date: Jan 2024
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Public Policy
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2022-health-meeting-bundle
2022 Health Meeting Recording Bundle Medicare; Medicaid; Medicare Advantage; Cluster Analysis; Pharmacy Benefit Design; Social Determinants of Health (SDOH); Precision Medicine Diagnostics; ...- Date: Oct 2022
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability
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2023-health-meeting-session-2a
Learn about key topics affecting actuaries working in the dental insurance space! The session will include valuable information for health actuaries looking to better understand how dental fits ...- Authors: Society of Actuaries
- Date: Dec 2023
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Public Policy
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Getzen Model of Long-Run Medical Cost Trends Update for 2022-2030+
COVID has washed over healthcare like a tsunami. According to Medicare actuaries, trends have been turned upside down in 2021, but will reverse back in 2023 as medical costs rebound. It is more ...- Authors: Thomas Getzen
- Date: Nov 2021
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability
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Evaluating Payment Models for High-Cost Curative Therapies
Evaluating Payment Models for High-Cost Curative Therapies This report evaluates alternative payment models that potentially could be instituted by healthcare payers and manufacturers. Health ...- Authors: Society of Actuaries
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Payment models
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2023-health-meeting-session-3a
The health care sector in general, and physicians in particular, are a large and important part of the market for group and individual insurance products. Explore a variety of subjects related to ...- Authors: Society of Actuaries
- Date: Jan 2024
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability