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Session 169: Risk Adjustment in Medicaid: Recent Developments
Session 169: Risk Adjustment in Medicaid: Recent Developments The presenters will cover the variation ... com/journals/jamainternalmedicine/fullarticle/2647322 17 Using SDOH in Risk Adjustment - Massachusetts ...- Authors: Edward M Mailander, Daniel Henry
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Payment models; Public Policy; Public Policy
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Session 042: Long Term Care Medical Discussion
Session 042: Long Term Care Medical Discussion This session features a moderated discussion between ... 207 12% MI 11 14 44 46 115 11% Cardio Ischemic 3 17 24 43 87 9% Breast Cancer 219 586 264 36 1110 32% ...- Authors: Julianne A Callaway, Robert Eaton, Shawna Meyer, Afik Gal
- Date: Jan 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health care; Long-term Care; Long-term Care>Chronic health management - Long-term Care
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COVID-19 Key Statistics Update
generally declined since the first week of May (Figure 17). One notable exception was June 25, when New Jersey ... states, had reported only confirmed cases. Figure 17 U.S. DAILY REPORTED NEW COVID-19 DEATHS BY REGION ...- Authors: Society of Actuaries
- Date: Jul 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Life Insurance
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Direct Contracting and Other Models: How CMS, Providers, and Employers Continue to Challenge the Status Quo
Direct Contracting and Other Models: How CMS, Providers, and Employers Continue to Challenge the ... Needs Population Direct Contracting Entities (DCEs) 17 What is Direct Contracting? A new CMMI model ...- Authors: Matthew Smith, James Gerald Lucas, Brian Allen Sweatman
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Payment models
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Society of Actuaries Research Brief Impact of COVID-19, March 25, 2020
................................................ 17 Reinvestment Risk ............................. ... ................................................ 17 Section 4: Operational and Emerging Risks ....- Authors: Society of Actuaries
- Date: Mar 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health risks; Health & Disability>Claims - Health & Disability
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Session 056: Specialty Pharmacy Pipeline Update and Management Concepts for Gene Cell Therapies
Session 056: Specialty Pharmacy Pipeline Update and Management Concepts for Gene Cell Therapies The ... launched in the US U.S. Approvals 2015 – 2018 17 Overall Biosimilar Utilization in U.S.1 48% 96% ...- Authors: Gabriela Dieguez, Kent D. Wangsness, Sanjit Puri
- Date: Jan 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Economics; Economics>Health economics; Health & Disability; Health & Disability>Health insurance
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Session 189: Health Insurers and Stress Testing Catastrophic Events
Session 189: Health Insurers and Stress Testing Catastrophic Events While intended to assist health ... only. SOURCE: ST. LOUIS FEDERAL RESERVE BANK DI 17 Stress Scenario Test Economic Downturn - Recession ...- Authors: Ken Ehresmann, David Ingram, Reid Kinney
- Date: Mar 2020
- Competency: Leadership
- Topics: Enterprise Risk Management; Enterprise Risk Management>Risk measurement - ERM; Health & Disability; Health & Disability>Health insurance
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Tell Me Something About Telehealth
Tell Me Something About Telehealth Telehealth enables the delivery of health care services to patients ... All rights reserved. PROPRIETARY and CONFIDENTIAL 17 THE WAITING ROOM Updates to the visit workflow: ...- Authors: Timothy Murray, Terry Beck, Jean Glossa
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health care; Technology & Applications
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Preparing for the ESRD Influx in 2021
Preparing for the ESRD Influx in 2021 In this session we will discuss the impact of regulation changes ... Out of Pocket Costs for ESRD Members for CY 2018 | 17 $1,064 $2,128 $3,192 $4,256 $5,320 $6,384 ...- Authors: Adam Barnhart, Adam Logan Keach, Yingxuan Li, Christopher Lynn Andrews
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health insurance
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Session 164: Premium Distribution and Market Competitiveness Under Rate Regulation
Session 164: Premium Distribution ... Eigenvalues 15.81454117 -5.60E-16 -1.13E-17 -1.13E-17 1.91E-17 Eigenvectors 1 2 3 4 5 1 0.483060881 ... 15.81454117 -5.60E-16 -1.13E-17 -1.13E-17 1.91E-17 Eigenvectors ...- Authors: Robert P Montgomery, Zia Rehman
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: General Insurance (Property & Casualty); General Insurance (Property & Casualty)>Pricing/ratemaking - General Insurance; Health & Disability; Health & Disability>Rates - Health & Disability