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New Member Impact on Medicaid Managed Care Costs
New Member Impact on Medicaid Managed Care Costs In this article, the authors explore how the recession ... new member enrollment in the various state health care programs and the resulting impact on trend. Analytics ...- Authors: Bela H Patel Fernandez, Jeffrey L Smith
- Date: Feb 2010
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data>Morbidity; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
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The Managed Care Market -Current Status, Future Direction
The Managed Care Market -Current Status, Future Direction Current Status of managing costs & increasing ... contribution health plans. Issue No. 39. Health care costs;Managed care; 9359 12/1/2000 12:00:00 AM ...- Authors: Kevin Dolsky
- Date: Dec 2000
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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An Actuarial Response to the Health Care Crisis
An Actuarial Response to the Health Care Crisis Discussion of steps that can be taken to control costs ... Part 2 of a 2 part series. Issue No. 48. Health care costs; 9433 10/1/2004 12:00:00 AM ...- Authors: Daniel Wolak
- Date: Oct 2004
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Strategies for a Healthy Dialogue on Health Care Financing Reform
Strategies for a Healthy Dialogue on Health Care Financing Reform An article in the September 2008 issue ... to those who may be participating in the health care debate this time around. N/A; 9487 9/1/2008 12:00:00 ...- Authors: William Lane
- Date: Sep 2008
- Competency: Communication>Persuasive communication
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices
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The State of Predictive Analytics in U.S. Health care
The State of Predictive Analytics in U.S. Health care Health care predictive analytics varies ... State of Predictive Analytics in U.S. Health care Health care predictive analytics varies between payers ...- Authors: Marilyn Medved McGaffin
- Date: Nov 2016
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Predictive Analytics
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Health Care 2.0—Massive Implications of System Transformation
Health Care 2.0—Massive Implications of System Transformation The healthcare industry is in the middle ... Payment models=Health care payment models;Health care reform;Accountable care organizations= ACO;Health ...- Authors: Greger J Vigen
- Date: May 2013
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Payment models; Public Policy
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Building Actuarial Cost Models From Health Care Claims Data
Building Actuarial Cost Models From Health Care Claims Data Using Healthcare Claims Data to Create Actuarial ... Business intelligence;Data mining=Big data;Managed care 6442476744 6/1/2017 12:00:00 AM ...- Authors: William Bednar
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence
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Health Care Guarantees underCanada’s Medicare Plan
Health Care Guarantees underCanada’s Medicare Plan This article reviews Canada's Medicare Plan, ...- Authors: J D Have
- Date: May 2006
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality
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Accountable Care Organizations - How Actuaries Can Get Involved
Accountable Care Organizations - How Actuaries Can Get Involved This article discusses Accountable Care Organizations ... bend the cost curve. Accountable care organizations= ACO;Health care costs;Health risks; 28086 10/1/2011 ...- Authors: Robert Tate
- Date: Oct 2011
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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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