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U.S. Health Care - Where to Look for Reform
U.S. Health Care - Where to Look for Reform Essay discussing cost, quality and access of healthcare and then describes the need for rationing. Bankruptcy;Health care costs;Health care quality; ...- Authors: Sam Gutterman
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge
- Topics: Economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Social Insurance>Medicaid; Social Insurance>Medicare
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Ehren Nagel: SOA Predictive Analytics Certificate Has Positively Impacted My Work
Ehren Nagel: SOA Predictive Analytics Certificate Has Positively Impacted My Work Early in his career, Ehren Nagel, FSA, MAAA, scoured through podcasts and articles about predictive analytics, ...- Authors: Society of Actuaries
- Date: Nov 2019
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques; Predictive Analytics>Programming languages & tools; Health & Disability>Electronic medical record
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Examining Predictive Modeling–Based Approaches to Characterizing Health Care Fraud
Examining Predictive Modeling–Based Approaches to Characterizing Health Care Fraud This research report provides an evaluation and synthesis of the methodologies and data samples used on ...- Authors: Society of Actuaries, JING AI, Robert D Lieberthal, Rachel Wojciechowski, Skyla Smith
- Date: Mar 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Taxes and Fees Introduced by the ACA
Taxes and Fees Introduced by the ACA Taxes and Fees Introduced by the ACA Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss ...- Authors: Michael Gaal
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Wall of Comments
Wall of Comments A compilation of feedback from actuaries in the Health Section of the affects of the ACA. Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care ...- Authors: Society of Actuaries
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Why Everyone Hates HMOs
Why Everyone Hates HMOs Article compares HMOs to other one stop non-health corporations that have gone away and states still in existance only due to forced government regulation, Issue No. 39.- Authors: Gerry Smedinghoff
- Date: Dec 2000
- Competency: Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article compares the Prescription Drug Plan (PDP) market to the commercial individual market exchanges included ...- 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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Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality This article describes the results of three years of work by Blue Shield ...- Authors: Edward Cymerys
- Date: May 2013
- Competency: Relationship Management>Relationships and trust; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Payment models
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Practical Reform For The U.S. Health Insurance System
Practical Reform For The U.S. Health Insurance System This paper discusses the the continuing cost of health insurance coverage represents a major problem for most of us. However, the long-term ...- Authors: John Cookson
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge; Leadership>Thought leadership; Strategic Insight and Integration>Influence decisions
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Summary of House of Representatives Tri-Committee Bill – H.R. 3200
Summary of House of Representatives Tri-Committee Bill – H.R. 3200 Summary of House of Representatives Tri-Committee Bill – H.R. 3200. Funding reform;Health care costs;Health care quality;Health ...- Authors: William Lane
- Date: Sep 2009
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare