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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 Model As ... model into the future. This requires actuarial and clinical/provider capabilities to assess the care management ...- 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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Commercial Health Care: What’s Next? A Health Section Strategic Initiative
Commercial Health Care: What’s Next? A Health Section Strategic Initiative The Health Section's ... What’s Next? A Health Section Strategic Initiative The Health Section's strategic initiative entitled ...- Authors: David Dillon
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Public Policy; Public Policy
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An Interview with David Cutler and Grace-Marie Turner
and a health care consumer advocate weigh in on the Patient Protection and Affordable Care Act, including ... including implementation issues, directions for the future and what role actuaries shoudl take. Government-funded ...- Authors: Ksenia Whittal, Douglas Norris
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Change management; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Economics>Health economics; Public Policy; Public Policy
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Navigating Cost-Sharing Reduction Subsidy Defunding
and Michael Cohen As part of the Affordable Care Act (ACA), carriers in the individual market are required ... silver plan, with the requirement that the carrier must charge the same premium as the standard plan. These ...- Authors: Michael Cohen, Peter van Laarhoven
- Date: Mar 2019
- Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy
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A Simple Proposal to Save the Individual ACA Market
A Simple Proposal to Save the Individual ACA Market We propose using premiums and tax revenue to fund ... fund high-cost individuals in the Individual ACA market. Patient Protection and Affordable Care Act= PPACA=Affordable ...- Authors: Joseph Slater, John Culkin
- Date: Feb 2018
- Competency: Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Public Policy
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Medicare Advantage Part C Revenue: Challenges Ahead
Revenue: Challenges Ahead Analysis of the projected impact of the Affordable Care Act on Medicare Part ... trends. The analysis is largely based on CMS published data, with trend analysis based on the Medicare ...- Authors: Timothy Courtney
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Public Policy
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Chairperson’s Corner 2009 Health Section Initiatives
Initiatives The Health Section chairperson discusses the past year's activity, especially the Visions ... Visions for the Future of the U.S. Health Care System essay contest, and an update on the Untapped Opportunities ...- Authors: Jennifer Gillespie
- Date: Sep 2009
- Competency: Communication>Written communication; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Actuarial Profession>Traditional careers; Public Policy; Public Policy
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The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death!
The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death! A ... A proposal to reform the health care provider payment system through: a national fee schedule, shifting ...- Authors: John Dante
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Public Policy
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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Exchanges This article compares the Prescription Drug Plan (PDP) market to the commercial individual market ... in the Affordable Care Act. PDP carrier actions to date could help predict certain aspects of the exchange ...- Authors: Shelly Brandel
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
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Medicare Supplement: Critical Factors for Success
Factors for Success An overview of the Medicare Supplement landscape and the critical factors for successfully ... successfully pricing and managing this product line amidst the challenges that exist. Guaranteed issue=GI;Medicare ...- Authors: James Galasso, John S Cathcart, Sudha Shenoy, Kenneth Clark
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Public Policy; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicare