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Better Care Through Understanding the Customer Not Just the Patient
As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical data. That information is captured while patients are in health care facilities. Yet ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2
Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2 This is Part 2 of 2 on changes affecting Medigap insurers. It focuses on marketing and regulatory differences between Medigap ...- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance; Public Policy; Public Policy
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Claims Reserve Margin in the Health Annual Statement: A Review of 2016–2021
Claims Reserve Margin in the Health Annual Statement: A Review of 2016–2021 In preparing claims reserves in the annual statement, health insurers and their opining actuaries will generally include ...- Authors: Robert Lang, Elliot McLeRoy
- Date: Nov 2023
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Claims - Health & Disability
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A Mental Health State of the Union
A Mental Health State of the Union This article is intended to inform readers about the current state of mental health and health care in the US, as were it's heading moving forward. Mental ...- Authors: Traci Leigh Hughes
- Date: May 2023
- Competency: Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care
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Will Your Unpaid Loss Reserve Stand Upto IRS Scrutiny?
Will Your Unpaid Loss Reserve Stand Upto IRS Scrutiny? Unpaid Loss Reserve fair and reasonable test and two legal cases Utah Medical and Minnesota Lawyers Issue No. 39. Assumptions;Health ...- Authors: Rowen Bell
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability
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Combining an Actuarial and an Underwriting Approach
Combining an Actuarial and an Underwriting Approach Combining an Actuarial and an Underwriting Approach, Issue No. 39. Underwriting; 9364 12/1/2000 12:00:00 AM ...- Authors: David L Reichlinger
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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Navigating New Horizons: An Interview with Cori Uccello
Navigating New Horizons: An Interview with Cori Uccello Interview with Cori Uccello, senior health fellow for the American Academy of Actuaries. N/A; 9475 5/1/2008 12:00:00 AM ...- Authors: Stephanie Lawrence
- Date: May 2008
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability
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Chairperson’s Corner
Chairperson’s Corner Update on Health Section research projects and topics, including health care reform, complexity science, and strategic planning. Analytics and informatics;Health care reform; ...- Authors: Judy L Strachan
- Date: Jan 2011
- Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Thought leadership; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Actuarial Profession>Academic partnerships; Actuarial Profession>Professional associations; Health & Disability; Public Policy
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Buying and Selling Employer Stop-loss is simple…. or is it?
Buying and Selling Employer Stop-loss is simple…. or is it? Any prudent organization that is obligated to cover health claims will consider the risk that those medical claims vastly exceed ...- Authors: David Nelson, Keith Passwater
- Date: Oct 2020
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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Biosimilars, Part 1: A Brief Introduction
Biosimilars, Part 1: A Brief Introduction What are Biosimilar drugs? Are they the same as generic drugs? What potential impact might Biosimilars have in the United States prescription drug ...- Authors: Gregory Warren, Tony Pistilli
- Date: Sep 2023
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability