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Design and Pricing of Tiered Network Health Plans
Design and Pricing of Tiered Network Health Plans This article discusses the advantages, logistical concerns, and pricing formulas of implementing a TNHP, in which members pay less for treatment ...- Authors: Peter Horman
- Date: May 2009
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Modeling & Statistical Methods
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Behavioral Economics: Overview and Healthcare Applications
Behavioral Economics: Overview and Healthcare Applications This article provides an overview of behavioral economic theory as it relates to health and welfare insurance plans and provides ...- Authors: Randy P Herman, Tony Pistilli, Brian Plaskow, Jeffrey Chanin
- Date: Aug 2020
- Competency: External Forces & Industry Knowledge; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Economics; Economics>Behavioral economics; Economics>Health economics; Health & Disability; Health & Disability>Health care
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2023-health-meeting-session-1e
Anti-obesity medications have been met with reluctance from payers and employee benefits consultants who often lack analogs or empirical data to estimate the cost impact of new therapies ...- Authors: Society of Actuaries
- Date: Dec 2023
- Competency: Results-Oriented Solutions
- Topics: Experience Studies & Data; Health & Disability
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2022-long-term-covid-trends
Discover the impact of COVID-19 on member costs post diagnosis and the future of mortality in this Emerging Long Term COVID-19 Trends webcast. This webcast will be split up into Health and Life ...- Authors: Society of Actuaries
- Date: Jan 2023
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Topics: Demography; Health & Disability; Life Insurance; Predictive Analytics
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Session 1A: Upgrading and Development of Health Management and Health Insurance
Session 1A: Upgrading and Development of Health Management and Health Insurance The prospects for China's health insurance has increased significantly in 2018, incentivized by a series of ...- Authors: Yan Yang
- Date: Jul 2019
- Competency: Communication; External Forces & Industry Knowledge; Leadership; Professional Values; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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How to Succeed in the Worksite Market
How to Succeed in the Worksite Market This article describes the four keys to successful worksite marketing: 1. Onsite selling either with group meetings or one-on one using professional ...- Authors: Al Barthelman
- Date: Dec 1998
- Competency: Results-Oriented Solutions
- Publication Name: Small Talk
- Topics: Annuities>Marketing and distribution - Annuities; Health & Disability>Accident insurance; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Life Insurance>Marketing and distribution - Life Insurance
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2023-hospital-health-plan-price
CMS has required hospitals to publish their chargemaster rates, cash discounts and negotiated rates as of January 1, 2021. Our panel is comprised of a data strategist, an executive from a large ...- Authors: Liang Zhou, Lina Chan
- Date: Apr 2024
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Economics; Experience Studies & Data; Finance & Investments; Health & Disability; Modeling & Statistical Methods; Predictive Analytics; Technology & Applications
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2022-competitive-con-aca
As the ACA market evolves with changing regulatory and competitive landscape, the evaluation of risk and opportunity also advances. Discover new approaches to apply and determine key ...- Authors: Patrick P Ryan, Brent Jensen, Brian J Perlman, Sara Hemmingson
- Date: Sep 2022
- Competency: Results-Oriented Solutions
- Topics: Health & Disability
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2023-health-meeting-session-9d
Health care continues to move from a fee-for-service model to a value-based care model. Hear from our expert panel how actuaries can play key roles in designing and contracting value-based ...- Authors: Society of Actuaries
- Date: Jan 2024
- Competency: Results-Oriented Solutions
- Topics: Health & Disability
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October issue of Health Watch
October issue of Health Watch Read the October 2019 issues of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.- Authors: Society of Actuaries
- Date: Nov 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability