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Provider Risk Sharing Boot Camp for Health Actuaries
Provider Risk Sharing Boot Camp for Health Actuaries Changes introduced by various Medicare Alternative Payment Models and the Medicare Access and CHIP Reauthorization Act (MACRA) have ...- Authors: Colleen Audrey Norris
- Date: Nov 2018
- Competency: External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
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Medical Reinsurer’s Reaction to COVID-19
Medical Reinsurer’s Reaction to COVID-19 First dollar carriers, stop loss carriers, and reinsurers play a different role in reimbursing healthcare claims. This article explores the reinsurer's ...- Authors: Mehboob Khoja
- Date: Jun 2020
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Reinsurance News
- Topics: Health & Disability>Health care; Reinsurance; Reinsurance>Stop-loss insurance
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Abstract: A Comparative Analysis of Chronic and Non-ChronicInsured Commercial Member Cost Trends
Abstract: A Comparative Analysis of Chronic and Non-ChronicInsured Commercial Member Cost Trends This is the abstract to the paper, A Comparative Analysis of Chronic and Non-Chronic Insured ...- Authors: Ian G Duncan, Robert Bachler, Iver Juster
- Date: Jun 2005
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care
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An Electronic Prescription for Health Care Efficiency
An Electronic Prescription for Health Care Efficiency This article discusses the positive aspects of E-prescribing, a transaction in which a physician transmits a prescription directly to a ...- Authors: Susan Pantely
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Technology & Applications
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Provider Risk-Sharing and Random Noise
Provider Risk-Sharing and Random Noise Discussion and Opinion on how randomness affects measurement of provider contracting risk-sharing agreements 7/3/2019 12:00:00 AM ...- Authors: Thomas Messer
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Provider networks; Health & Disability>Provider risk
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To Be Continued - PHCCS
To Be Continued - PHCCS Summary of the 1974 report of the HIAA Prevailing Health Care Charges System which contains data from about 900,000 charges for up to 1,600 different surgical procedures, ...- Authors: Application Administrator
- Date: Sep 1975
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: The Actuary Magazine
- Topics: Experience Studies & Data; Health & Disability>Health care
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Valuation of Care Management Vendors
Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings by external care vendors 5/1/2020 12:00:00 AM ...- Authors: Rick S Pawelski
- Date: May 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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The Next Horizon of Value-based Care: An Opportunity for Actuaries to Become Pioneers in Health Care
The Next Horizon of Value-based Care: An Opportunity for Actuaries to Become Pioneers in Health Care The momentum in value-based care has produced an opportunity for actuaries to become pioneers ...- Authors: Yuxiao Zhao
- Date: Aug 2023
- Competency: External Forces & Industry Knowledge; Leadership; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: Actuarial Profession; Actuarial Profession>Alternative careers; Health & Disability; Health & Disability>Health care
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The Costs of Mental HealthParity
The Costs of Mental HealthParity This article examines the costs of mental health parity, presents the primary drivers of cost increases from legislation and shows evidence the initial cost ...- Authors: Stephen P Melek
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Better Care Through Understanding the Customer Not Just the Patient
As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical data. That information is captured while patients are in health care facilities. Yet ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques