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Medicare Testimony - Actuary Addresses Congressional Subcommittee
Medicare Testimony - Actuary Addresses Congressional Subcommittee Summary of testimony by an AAA Board member before a congressional subcommittee, as an expert on risk assessment and adjustment, ...- Authors: Jacqueline Bitowt
- Date: Apr 1997
- Competency: Communication>Oral communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Influence; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health risks; Health & Disability>Payment models; Public Policy; Social Insurance>Medicare
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Evaluating Payment Models for High-Cost Curative Therapies
Evaluating Payment Models for High-Cost Curative Therapies This report evaluates alternative payment models that potentially could be instituted by healthcare payers and manufacturers. Health ...- Authors: Didier Serre, Joanne L Buckle, Jessica Marie Naber, Anne M Jackson
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Payment models
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Outpatient Facility Reimbursement
Outpatient Facility Reimbursement Review of reimbursement methodologies APGs, APCs, Medicare ASC, discount on charges, commercial hybrid, methods and trends in contracting, impact on trent, ...- Authors: Brian Small
- Date: Oct 2002
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models
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An Interview: Dr. Uwe Reinhardt
An Interview: Dr. Uwe Reinhardt In this interview Dr. Reinhardt shares his thoughts on the role he believes actuaries should take in the health care system reforms. Assumptions;Episode-based ...- Authors: Mary Kindel Van der Heijde, Douglas Norris
- Date: Sep 2009
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Actuarial Profession>Traditional careers; Enterprise Risk Management; Health & Disability>Health risks; Health & Disability>Payment models
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At the Intersection of Public Health and Actuarial Practice
At the Intersection of Public Health and Actuarial Practice An edited written interview with two actuaries and a public health professional on issues related to the intersection between the two ...- Authors: Barbara Zabielski
- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability>Health care; Health & Disability>Payment models; Public Policy; Social Insurance>Medicaid
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Session 044: Transitioning a Health System from Separate Physician and Hospital Reimbursement to Global Payment
Session 044: Transitioning a Health System from Separate Physician and Hospital Reimbursement to Global Payment This is a case study session where the speakers will describe a project where a ...- Authors: David Axene, Elaine Corrough, Stephanie Dawn Entzminger
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Payment models; Predictive Analytics
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Session 023: A Common Vision of Value-Based Care: Case studies of Payer-Provider Collaboration
Session 023: A Common Vision of Value-Based Care: Case studies of Payer-Provider Collaboration In the current value-based care marketplace, there are various reimbursement models that tie ...- Authors: David Hanekom, Maureen B Tresnak , Fan Zhang
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health care quality; Health & Disability>Payment models
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Session 031: Pharmacy Pricing - US Policy and Global Perspective
Session 031: Pharmacy Pricing - US Policy and Global Perspective US pharmacy prices have entered a new era of growth driven by Specialty medications. A bevy of state and national regulations ...- Authors: Gregory L Warren, Laura Elizabeth Coe , Scott Fry
- Date: May 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Payment models; Public Policy
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Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics
Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics The presenters will provide insights into fraud and abuse risk in the health insurance industry, including an ...- Authors: Kwame Smart, Mark Russell, Steve Richardson
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Payment models
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Using Predictive Modeling to Risk-Adjust Primary Care Panel
Using Predictive Modeling to Risk-Adjust Primary Care Panel This article discusses techniques used to create risk scores to help determine appropriate primary care panel sizes for a provider ...- Authors: Anders Larson
- Date: Jun 2017
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Health & Disability>Payment models; Predictive Analytics