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The Alternative to the Medical Scheme Model for Africa
The Alternative to the Medical Scheme Model for Africa The medical scheme approach adopted by several ... several African countries has failed to meet the needs of those in informal employment and rural communities ...- Authors: Kudzai Chigiji
- Date: Jan 2016
- Competency: Communication>Persuasive communication; Leadership>Influence; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: International News
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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The Impact of Family Structure on Spare Capacity and Health Care Utilization
The Impact of Family Structure on Spare Capacity and Health Care Utilization This article is based on ... on a third party administrator study and explores the relationships between family structure, spare capacity ...- Authors: Philip Castevens
- Date: Jan 2014
- Competency: Results-Oriented Solutions>Actionable recommendations
- Publication Name: Health Watch
- Topics: Public Policy; Public Policy
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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 ...- 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
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Prioritization of Health Services
Prioritization of Health Services This session is about the details of the inception and implementation of the ... the Oregon Health Plan. From Record of Society of Actuaries Vol. 18, No. 1B. Government-funded healthcare;Health ...- Authors: Paul R Fleischacker, Harvey Klevit
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy; Social Insurance>Medicaid
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Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal to address ... effective preventive care would be tied to the amount remaining in the fund, and government involvement would ...- Authors: Mark Florian
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance
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Health Watch, November 2016, Issue 81
November 2016, Issue 81 Read the November 2016 issue of Health Watch published by the Health Section. Newsletters ... Newsletters provide practical information for the working actuary, articles on trends that impact sections ...- Authors: Society of Actuaries
- Date: Nov 2016
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Public Policy; Public Policy
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The Age Wave, the Ocean State, and Long-Term Care
The Age Wave, the Ocean State, and Long-Term Care Rhode Island’s unique “global Medicaid waiver” pursues ... overruns could seriously damage the state’s social safety net. To maximize the global waiver’s opportunity ...- Authors: Stephen Moses
- Date: Dec 2009
- Competency: Communication>Persuasive communication; Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations
- Publication Name: Long-Term Care News
- Topics: Long-term Care>Medical expenses; Long-term Care>Public financing - Long-term Care; Long-term Care>Long-term care facilities & home care; Public Policy; Social Insurance>Medicaid
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Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea?
Reimbursement: A Step in the Right Direction, or Another Flawed Idea? An overview of the issues behind reimbursing ... basis. The article presents the potential advantages offered by the proponents as well as the criticisms ...- Authors: Todd Lueders
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Public Policy
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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries Explanation of Medicare ... important features of the program from an actuarial perspective, how the components of the STAR rating are ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Navigating Cost-Sharing Reduction Subsidy Defunding
and Michael Cohen As part of the Affordable Care Act (ACA), carriers in the individual market are required ... silver plan, with the requirement that the carrier must charge the same premium as the standard plan. These ...- Authors: Michael Cohen, Peter van Laarhoven
- Date: Mar 2019
- Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy