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  • Interview with leader Shari Westerfield
    most of my days trying to solve some of the health care Leader Interview With Shari Westerfield Shari ... at night. The sustainability of the U.S. health care delivery and financing systems will likely be at ...

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    • Authors: Karen Shelton
    • Date: Oct 2017
    • Competency: Leadership>Mentoring; Leadership>Thought leadership
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional development
  • Chairperson's Corner
    share information and engage with fellow health care actuaries on current topics and new articles and ... community and stay up to date on important health care issues and share your experience and knowledge ...

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    • Authors: Karen Shelton
    • Date: Jul 2019
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Actuarial Profession; Actuarial Profession>Professional development
  • ASOP 6 and Medicare Payments Projections
    facility in excess of $101.50 per day, custodial care, etc. The reimbursement decreases have led to an ... share of the expected future post- retirement health care cost for a plan participant is developed by reducing ...

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    • Authors: Charles Edwards
    • Date: Oct 2002
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Happy 30th Birthday, Health Section!
    Happy 30th Birthday, Health Section! A look back at the 30 years since the Health Section was ... payers including provider consulting, Accountable Care Organizations, pharmaceuticals, disease management ...

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    • Authors: Society of Actuaries
    • Date: May 2011
    • Competency: Leadership>Thought leadership; Professional Values; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Economics>Health economics
  • Don’t Forget the Data
    great deal of attention has been given to all health care prod- ucts. As the “cradle to grave” wel- fare ... suit. The Last Decade During the ‘90s, key health care products have had mixed fortunes. Critical illness ...

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    • Authors: Robert Bachler
    • Date: Aug 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • ERM Opportunities for Health Practitioners
    will drive the level of commitment to ERM. The primary findings of this research project are 1. Health ... with specific expertise tied to the company’s primary risks. Actuaries have a broad set of skills that ...

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    • Authors: Max Rudolph
    • Date: May 2010
    • Competency: Communication; External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Best practices; Enterprise Risk Management; Enterprise Risk Management>Compliance
  • What We Have Learned in the Last50 Years—and Aren’t Using
    risks. However, over the last 50 years, the health care industry has collected mounds of data and produced ... accounts for more than 75 percent of the health care costs. 1 One significantly alarming statistic ...

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    • Authors: Chris E Stehno
    • Date: May 2006
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Technology & Applications>Analytics and informatics
  • Actuarial and Underwriting Implications of the Final Health Privacy Rule
    present, or future payment for the provision of health care to an individual … and with respect to which there ... Supplement, Medicare+Choice, dental, or long-term care contract would be considered a “health plan,” and ...

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    • Authors: Rowen Bell
    • Date: Apr 2001
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Health Watch
    • Topics: Public Policy
  • Estimating IBNR from Authorized Bed Days
    per day of acute, sub-acute and other levels of care. Reviewing our historical inpa- tient costs, incurred ... the estimation method, costs include all inpatient care being esti- mated, and days are from the authorization ...

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    • Authors: Kevin L Pedlow
    • Date: Apr 2001
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Paradise Lost: Return on Investment in Disease Management
    Reporting and Assessing Program Outcomes. Am J Managed Care. (11) 2. February 2005. pp. 113-120. 4 Fetterolf ... 2004. 5 Duncan, I. PART 2: ACTUARIAL ISSUES IN CARE MANAGEMENT INTERVENTIONS: Paper 4: Understanding ...

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    • Authors: Don Fetterolf
    • Date: May 2006
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care