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Medicaid Risk-Based Managed Care Financial Results: A Decade in Review
Medicaid Risk-Based Managed Care Financial Results: A Decade in Review This article provides an overview ... overview of the financial results of managed care plans over time using a collection of the NAIC financial ...- Authors: Jeremy Palmer
- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Economics>Health economics; Finance & Investments>Risk measurement - Finance & Investments; Financial Reporting & Accounting>Statutory accounting
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Results From the 2017 Predictive Analytics in Health Care Trend Forecast
Results From the 2017 Predictive Analytics in Health Care Trend Forecast Results of a survey of healthcare ...- Authors: Ian G Duncan
- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Predictive Analytics
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PBA Corner
PBA Corner Article discussing an alternative method to calculate the PBA deterministic reserve ... calculate the PBA deterministic reserve called the “Direct Iteration” method. assumptions;principles-based ...- Authors: Karen Rudolph
- Date: Jun 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: The Financial Reporter
- Topics: Pensions & Retirement>Assumptions and methods
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Estimating Savings, Utilization Rate Changes, and Return on Investment from Care Management Interventions - Selective Literature review of Care Management Interventions
Investment from Care Management Interventions - Selective Literature review of Care Management Interventions ... Interventions A review of literature regarding care management program outcomes - either financial or utilization-related ...- Authors: Ian G Duncan, Henry Dove
- Date: Mar 2005
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Topics: Health & Disability>Chronic health management - Health & Disability
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Projecting the Needs and Costs of Long Term Care in Australia
Projecting the Needs and Costs of Long Term Care in Australia Considerable attention has been given ... is the need and subsequent costs for Long Term Care LTC. In this paper, a multiple state projection ...- Authors: Edward Leung
- Date: Sep 2008
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Topics: Long-term Care>Long-term care insurance
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A Regulatory Perspective on Rate Review Before and After the Affordable Care Act
Affordable Care Act A Regulatory Perspective on Rate Review Before and After the Affordable Care Act Patient ... Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health insurance;Medical ...- Authors: Annette James
- Date: Aug 2015
- 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
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Financial Reporting Research Scorecard
Financial Reporting Research Scorecard Research is a primary mission of the Financial Reporting Section and ...- Authors: Samuel Keller, Ronora Stryker
- Date: Mar 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations
- Publication Name: The Financial Reporter
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An Introduction To Care Management Interventions And Their Implications For Actuaries
An Introduction To Care Management Interventions And Their Implications For Actuaries Duncan's personal ... personal reflections on the state of care management evaluation. Health care quality;Markov Chain;Medicare;Disease ...- Authors: Ian G Duncan
- Date: Apr 2008
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Topics: Health & Disability>Chronic health management - Health & Disability
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Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck Panel discusses the effects ... reduced payment levels to many Medicare managed care organizations. From the Record of the Society of ...- Authors: Oscar Lucas, Peggy Tyndall
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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Reaching Out for New Opportunities—New Market Research About Actuaries in the Health Care Industry
Reaching Out for New Opportunities—New Market Research About Actuaries in the ... Opportunities—New Market Research About Actuaries in the Health Care Industry Key findings from a market research study ...- Authors: Sara Teppema
- Date: May 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Professional network leverage; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Qualifications