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  • Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative
    Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative ... Initiative This interview article summarizes the work being done by a Health Section Strategic Initiative Committee ...

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    • Authors: Gregory Fann
    • Date: Feb 2018
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models
  • Health Watch, June 2017, Issue 83
    Health Watch, June 2017, Issue 83 Read the June 2017 issue of Health Watch, published by the ... June 2017, Issue 83 Read the June 2017 issue of Health Watch, published by the Health Section. Practical ...

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    • Authors: Society of Actuaries
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • 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
  • 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
  • Health Watch, March 2017, Issue 82
    Health Watch, March 2017, Issue 82 Read the March 2017 issue of Health Watch, published by ... March 2017, Issue 82 Read the March 2017 issue of Health Watch, published by the Health Section. Practical ...

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    • Authors: Society of Actuaries
    • Date: Mar 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • 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
  • Massachusetts Payment Reform from an Actuarial Perspective
    Perspective The article is a case study of various actuarial concepts invovled in the design and implementtion ... implementtion of the AQC - a global budget provider payment arrangement implemented by Blue Cross Blue ...

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    • Authors: Matthew Day, Jill Wilson
    • Date: May 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Public Policy
  • 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 ... Quality This article describes the results of three years of work by Blue Shield of California to collaborate ...

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    • 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
  • The Center for Health Care Strategy (CHCS)
    The Center for Health Care Strategy (CHCS) CHCS is a nonprofit policy center focused on improving American ...

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    • Authors: Society of Actuaries
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Payment models; Public Policy
  • Direct Primary Care: Good for What Ails Us
    Direct Primary Care: Good for What Ails Us Discussion of direct primary care and how it helps with several ... satisfaction, and reduces spending. DPC successes promote the view that primary care should not be covered by insurance; ...

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    • Authors: Gayle Brekke
    • Date: May 2016
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health insurance; Health & Disability>Payment models
  • Health Watch, February 2018, Issue 85
    Health Watch, February 2018, Issue 85 Read the February 2018 issue of Health Watch, published ... 2018, Issue 85 Read the February 2018 issue of Health Watch, published by the Health Section. Practical ...

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    • Authors: Society of Actuaries
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • 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
  • Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
    Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model As ... model into the future. This requires actuarial and clinical/provider capabilities to assess the care management ...

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    • Authors: Mark Bethke, James M Whisler, Amanda Holland
    • Date: May 2013
    • Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy