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  • Our Value-Based Cup Runneth Over
    Our Value-Based Cup Runneth Over Discussion of how to mature value-based contracts between health insurers ... actuaries and leaders. Authors are writing from the provider perspective in value-based contracts. th ...

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    • Authors: Daniel Reck (Dan), Lisa Swan, Sam Johnmeyer
    • Date: Aug 2022
    • Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Provider risk
  • An Actuarial Model to Improve Health and Reduce Costs
    WATCH future medical services. However, under this Actuarial Patient Value model, the PCP receives an ... an incentive payment of $2,000, bringing the total compensation to $2,750. The model takes a long-term ...

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    • Authors: Ken Beckman
    • Date: Oct 2017
    • Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
  • Palliative Care
    Palliative Care This article from major US ... payers describes palliative care as a scaleable means of improving quality and reducing costs during serious ...

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    • Authors: Randall Krakauer, Bruce Smith, Diane Meier, Torrie Fields
    • Date: Nov 2016
    • Competency: Leadership>Change management; Leadership>Influence; Leadership>Mentoring; Leadership>Professional network leverage; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Enterprise Risk Management>Systematic risk; Experience Studies & Data>Morbidity; Experience Studies & Data>Mortality; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models
  • Yi-Ling Lin: SOA Predictive Analytics Program Prepares You for Health Care’s Future
    FCA, started the SOA’s Predictive Analytics Certificate Program to keep pace with the impact big data ... data and predictive modeling is having on the health care industry predictive analytics certificate program ...

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    • 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
  • Session 095: Drug Claim Management - Lessons from Canada
    Canada The presenters will focus on best practices in drug claim management in North America. The presentation ... and insights, but is useful for practitioners in the U.S. and elsewhere, as well. Health & Disability ...

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    • Authors: Daniel Berty, Martin Chung, Erin Crump, Ned Pojskic
    • Date: Feb 2020
    • Competency: Results-Oriented Solutions
    • Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Payment models
  • Ehren Nagel: SOA Predictive Analytics Certificate Has Positively Impacted My Work
    realized the SOA’s Predictive Analytics Certificate Program could help him make sense of the research ... chose the SOA’s Predictive Analytics Certificate Program because it was set up to meet the needs of a practicing ...

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    • 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
  • Why so Many People Have Untreated Mental Health Conditions
    People Have Untreated Mental Health Conditions The article reviews high-deductible health plans and ... mental health providers as being the root of 3 devastating problems facing the US. Mental health care;Chronic ...

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    • Authors: Dawn Motovidlak
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models