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An Actuarial Model to Improve Health and Reduce Costs
Beckman Chronic disease accounts for 86 percent of U.S. health care costs and an ever-increasing share of ... Diabetes Association, Economic Costs of Diabetes in the U.S. in 2012, http://care.diabetesjournals.org/cont ...- Authors: Ken Beckman
- Date: Oct 2017
- Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Provider-Sponsored Organizations PSOs
Provider-Sponsored Organizations (PSOs) by J. Patrick Kinney s part of its efforts to encourage Aexpansion of Medicare ... during the M+C contract period. (The accompanying table on page 15 shows a brief summary of the solvency ...- Authors: John Kinney
- Date: Dec 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicare
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An Interview with David Cutler and Grace-Marie Turner
their ability to pay. It has been said that the U.S. health care system does not have any founding ... there weren’t a ton of dif- ferent ideas at that table on how to save money that weren’t already floating ...- 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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Update on Massachusetts Health Care Financing Reform
Update on Massachusetts Health Care Financing Reform Read detailed analysis of a legislated act ... reached at bela.gorman@ verizon.net. 2 | J a n u a r y 2 0 0 8 | Health Watch CONTENTS 7 New Concepts ...- Authors: Bela Gorman
- Date: Jan 2008
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Public Policy
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What the Repeal and Replacement of the Affordable Care Act Will Look Like
3 “Filibuster in the United States Senate,” U.S. Senate, http://www.senate.gov/ artandhistory/hi ... ter- Way-HealthCare-PolicyPaper.pdf. 8 Avik S. A. Roy, “Transcending Obamacare: A Patient-Centered ...- Authors: Joseph Slater, Joshua Strupcewski, John Culkin
- Date: Mar 2017
- Competency: Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare
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ASOPs, Anti- Selection, Affordability and ACA Altern
sellers; and several legal battles that reached the U.S. Supreme Court had been weathered. In the last year ... note 4; http://www.actuarialstandardsboard.org/table -contents -standards -library/ 22 Supra, note ...- Authors: Gregory Fann
- Date: Nov 2016
- Competency: Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
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Considerations for Surplus Determination under ACA
There are five separate actionable outcomes (see Table 1). For a health care insurer that is between 200 ... He can be reached at richard.tash@optum. com Table 1: Risk-Based Capital authoritative action Outcomes ...- Authors: Daniel Pribe, Richard Tash, David M Tuomala
- Date: May 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Abstracts of Health Articles from the North American Actuarial Journal
Abstracts of Health Articles from the North American Actuarial Journal Highlights of health related ... Abstract This research examines the efficiency of U.S. health insurers. It shows that more insurers are ...- Authors: Ian G Duncan
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy
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Accountable Care Organizations: An Untapped Opportunity
third-party, objective analysis when they are at the table bargain- 8 | september 2010 | Health Watch area ... health care costs if actuaries had been at the table with providers earlier in the process. ACO leadership ...- Authors: Jim Toole, Sara Teppema
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
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Health Care 2.0—Massive Implications of System Transformation
major programs and initiatives. The following table outlines the major forces that are driving this ... more sophisticated payment reform options on the table, but implementation is just starting and/or uneven ...- Authors: Greger J Vigen
- Date: May 2013
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Payment models; Public Policy