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How blockchain technology will disrupt the PBM-payer-pharmacy relationship
disrupt the PBM-payer-pharmacy relationship This article explores the disruptive applications of blockchain ... blockchain, an emerging technology, and its impact on the pharmacy benefit space, and pharmacy benefit managers ...- Authors: Brian Anderson, Michael DiPrima , Greg Callahan
- Date: Apr 2020
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Technology & Applications; Technology & Applications>Blockchain & cryptocurrency
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Health Insurer Balance Sheets 10 Years After ACA
since the Patient Protection and Affordable Care Act (ACA) was signed into law in March 2010. The ACA fundamentally ... stakeholders. The impacts of these programs can be seen in specific accounting items on the balance sheets ...- Authors: Scott O'Neil Jones, Samuel Jay Shellabarger
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Affordable Care Act (ACA)
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New Contract Medicare Star Ratings: Why The Sudden Cliff?
New Contract Medicare Star Ratings: Why The Sudden Cliff? On average, contracts receiving their first ... decreases their payments in the following calendar year. This article explores the disparity in Medicare Advantage ...- Authors: Suzanna-Grace Sayre, Danielle Beierle
- Date: Jan 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
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Is Your Integrated Delivery System Throwing Away Free Money?
Karan Rustagi Controlling the pricing of both the delivery and the insur-ing of health care should be powerful ... powerful. That is the theory behind an integrated delivery system (IDS), also known as a provider- sponsored ...- Authors: Karan Rustagi
- Date: Feb 2018
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development; Health & Disability>Payment models; Social Insurance>Medicare
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An Interview with David Cutler and Grace-Marie Turner
and a health care consumer advocate weigh in on the Patient Protection and Affordable Care Act, including ... including implementation issues, directions for the future and what role actuaries shoudl take. Government-funded ...- Authors: Ksenia Whittal, Douglas Norris
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Change management; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Economics>Health economics; Public Policy; Public Policy
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What is Available in 2014 for 2015 Individual Health Insurance Rate Filings
What is Available in 2014 for 2015 Individual Health Insurance Rate Filings Help to ... generate ideas for formulating a pricing strategy of 2015 individual health insurance products despite ...- Authors: Jeff D Rohlinger
- Date: Oct 2013
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Annuities>Policyholder behavior - Annuities
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Complexity Science - A New Frontier for Actuarial Exploration
A New Frontier for Actuarial Exploration Review of a report by Alan Mills introducing Complexity Science ... actuaries to model and manage complex systems, such as the health care system. Analytics and informatics;Predictive ...- Authors: Steven Siegel
- Date: Jan 2011
- Competency: Leadership>Thought leadership; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Modeling & Statistical Methods
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Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans?
provider of healthcare services rather than through a third-party administrator (TPA), often with the goal ... goal of driving value-based care. This article discusses the considerations for employers and providers ...- Authors: Andrew James Timcheck, Cory Gusland, Michael Gaal
- Date: Dec 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Payment models