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Basic Health Program: Considerations Regarding the Federal Payment Methodology
individuals as their eligibility for various health care coverage options changes throughout time. This article ... Program is funded. Patient Protection and Affordable Care Act 6442459380 1/1/2015 12:00:00 AM ...- Authors: Michael Cook, Lindsy Marie Kotecki, Steven Armstrong
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Health & Disability>Public financing - Health & Disability
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The Health Insurance Providers Fee and Medicaid
implemented through Section 9010 of the Affordable Care Act (ACA) and discusses how the fee will creates ... rates. Medicaid;Premiums;Taxes=Taxation;Health care reform;Health maintenance organization=HMO 6442451565 ...- Authors: Sabrina Gibson, Maria Dominiak
- Date: Oct 2013
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>General business skills
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
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Assessing Prescription Opioid Risk with Predictive Analytics
Assessing Prescription Opioid Risk with Predictive Analytics We highlight a new approach leveraging ... users for more effective screening and follow-up care. Predictive modeling;Health risks;Data mining=Big ...- Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; 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: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
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Assessing the Impact of Cost Sharing on the Induced Demand for Prescription Drugs to Support Part D Medicare Pricing
Assessing the Impact of Cost Sharing on the Induced Demand for Prescription Drugs to Support Part ... curves for pharmacy costs. Health factors;Health care costs;Medicare 4294993935 1/1/2013 12:00:00 AM ...- Authors: Kevin L Pedlow
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Annuities>Pricing - Annuities
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Genomic Testing: Cost-Saving or Cost-Inflating for Payers?
Genomic Testing: Cost-Saving or Cost-Inflating for Payers? As private payers ponders ... treatment pathways, can personalized approaches to care prove financially sound? cancer;health economics;Return ...- Authors: Didier Serre
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Assess decision effectiveness
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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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 ...- 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
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Association Group Disability Coverage:Past Lessons for a Profitable Future
associations is group medical. In the days before managed care, carriers found this coverage attrac- tive because ... experience-rated. With the advent of managed care and increased federal and state-level legisla- tive ...- Authors: Steven Siegel, Raza Zaidi
- Date: Aug 2000
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Health & Disability>Disability insurance
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Health Risk Assessments in a Protected Environment
disease is considered manifested when a health care professional has made a diagnosis based on an examination ... plans to undergo genetic testing. However, a health care professional may still recommend and order a genetic ...- Authors: John C Cameron
- Date: May 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Ethical standards
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Public Policy; Technology & Applications>Analytics and informatics
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Advanced Business Analytics:Applied Statistics, Programming and Actuaries
Accountable care organizations (ACOs) have a fresh incentive to find savings in the health care system ... world data (Maronna, Martin and Yohai 2006). The primary modeling exercise then began and involved important ...- Authors: Sheamus Parkes
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Predictive Analytics
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Getting Started with Advanced Analytics: The How and Why
Mary Beth Moran 21 Modeling the Cost of Medical Care for the elderly By Thomas E. Getzen 26 Behavioral ... of Family Structure on Spare Capacity and Health Care Utilization By Philip Castevens 39 Family Values ...- Authors: Gregory Pence
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Predictive Analytics