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The ACA Exchange and Medicare Part D: A Comparison of Financial Risk
The ACA Exchange and Medicare Part D: A Comparison of Financial Risk The article compares ... senior population who needs individual coverage. A s we wait for the initial financial results on the Affordable ...- Authors: Kurt Wrobel
- Date: Oct 2014
- Publication Name: Health Watch
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Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable ... better, and the organizations are more capable. The table below summarizes the transitions needed to help ...- Authors: Mark Bethke, James M Whisler, Amanda Holland
- Date: May 2013
- Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy
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Cost and Benefit Trends Observed in Jan. 1, 2011 Renewals for State Employers
Cost and Benefit Trends Observed in Jan. 1, 2011 Renewals for State Employers An analysis of health ... those trends. The premium trends in the following table are based on the total premiums as reported by ...- Authors: Robert Gordon Cosway, Barbara Dewey
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Internal forces and business performance; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data; Technology & Applications>Analytics and informatics
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Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does It?
Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves ... dramatically improve a complex and often dysfunctional U.S. health system. cold will too often get an antibiotic ...- Authors: Tia Sawhney, Bruce Pyenson
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Health & Disability>Payment models
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The Actuary and Health Insurance Mergers and Acquisitions
The Actuary and Health Insurance Mergers and Acquisitions Actuarial appraisal and role of ... cluding remedial action shock in- duced lapses and mortality rates) ! Premium: modal distribution and modal ...- Authors: James O'Connor
- Date: Apr 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Reasons to Reconcile
Reasons to Reconcile Financial reconciliation is critical to a successful Medicare Advantage ... for handling medical related- party arrangement(s). - Depending on the situation and method for demonstrat- ...- Authors: Gregory Sgrosso
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Internal forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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What Will Be the Impact of theNew Medicare PrescriptionDrug Benefit?
What Will Be the Impact of theNew Medicare PrescriptionDrug Benefit? This article provides ... approximately 15 percent of the costs after the member ’s out-of- pocket expenses are greater than $3,600. The ...- Authors: Corey Berger
- Date: Mar 2005
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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An Interview with Rick Foster
An Interview with Rick Foster Rick Foster, chief actuary at the Centers for Medicare & ... By Mary van der Heijde and doug norris Richard S. Foster, FSA, MAAA Chief Actuary Centers for Medicare ...- Authors: Mary Kindel Van der Heijde, Douglas Norris
- Date: Oct 2011
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Actuarial Profession>Academic partnerships; Public Policy
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Implications of Individual Subsidies in the Affordable Care Act—What Stakeholders Need to Understand
Implications of Individual Subsidies in the Affordable Care Act—What Stakeholders Need to Understand ... 21 eND NOTeS 1 Source: McKinsey Center for U.S. Health System Reform, Individual Market Enrollment: ...- Authors: Gregory Fann
- Date: May 2014
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability