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Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration
Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration This article focuses on the capitation ... it will be evaluated. Medicaid;Medicare;Health care reform 6442450975 5/1/2013 12:00:00 AM ...- Authors: Michael Cook, Shelly Brandel
- Date: May 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
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Reducing Medical Cost Trend With Concierge Services and Enhanced Digital Tools
Reducing Medical Cost Trend With Concierge Services and Enhanced Digital Tools Collective ... helping members navigate more intelligently. Health care costs;Claim experience;Health policy;Health information ...- Authors: Edward Cymerys
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health information technology
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Dental Diagnosis Coding: The State of the Art
Dental Diagnosis Coding: The State of the Art Diagnostic coding in dental is in its infancy. ... diagnostic coding and how it may transform dental care in various ways. dental 6442476748 6/1/2017 12:00:00 ...- Authors: Joanne E Fontana
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Retirees versus Active Workers: What is the Cost Difference?
Retirees versus Active Workers: What is the Cost Difference? Comparison of healthcare costs for early ... difference in costs between each group. Health care costs;Risk adjustment; 9572 5/1/2011 12:00:00 ...- Authors: Kristi Bohn, Sarah Legatt
- Date: May 2011
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Demography>Population data; Modeling & Statistical Methods>Data mining
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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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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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What We Have Learned in the Last50 Years—and Aren’t Using
risks. However, over the last 50 years, the health care industry has collected mounds of data and produced ... accounts for more than 75 percent of the health care costs. 1 One significantly alarming statistic ...- Authors: Chris E Stehno
- Date: May 2006
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Technology & Applications>Analytics and informatics
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Will MedSupp Have “2020” Vision in the World of MACRA?
Recently passed legislation referred to as MACRA (Medi-care Access and CHIP Reauthorization Act of 20151) will ... modeling various reasonable scenarios of the Medi- care Supplement market, experience on policies issued ...- Authors: Kenneth Clark
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Is there currently an underwriting cycle?
substantial federal grants under the Affordable Care Act (ACA) to enhance their rate review procedures ... for certain risks and given the current health care environment. This analysis considers the 1999–2011 ...- Authors: Mark Shaw
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Systematic risk; Health & Disability>Health insurance