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Possible Future of U.S. Healthcare
Possible Future of U.S. Healthcare What is the difference between a Single-Payer and Universal Health ... Health Care System, and how could the U.S. implement a system that would reduce the growth of medical costs ...- Authors: Roy Goldman
- Date: Nov 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Yi-Ling Lin: SOA Predictive Analytics Program Prepares You for Health Care’s Future
Prepares You for Health Care’s Future Yi-Ling Lin, FSA, MAAA, FCA, started the SOA’s Predictive Analytics Certificate ... Prepares You for Health Care’s Future Yi-Ling Lin, FSA, MAAA, FCA, started the SOA’s Predictive Analytics Certificate ...- 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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Ehren Nagel: SOA Predictive Analytics Certificate Has Positively Impacted My Work
began working on a stochastic mortality project, he realized the SOA’s Predictive Analytics Certificate ... practical coding experience. Ehren chose the SOA’s Predictive Analytics Certificate Program because it ...- 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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Value Based Insurance Deign: Restoring Health to the Health Care Cost Debate
Value Based ... V I S I O N S F O R T H E F U T U R E Of The U.S. Health Care System 17 As health care premiums ... ay s su p p li e d ( % ) Antihyp ertensives A ntiasthm a A ntid ep ressants V I S I O ...- Authors: Michael Chernew, Mark Fendrick
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge; Leadership>Thought leadership
- Topics: Enterprise Risk Management>Compliance; Health & Disability; Health & Disability>Disability insurance; Health & Disability>Health care; Health & Disability>Health insurance
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Better Care Through Understanding the Customer Not Just the Patient
types of data exist outside a health plan or provider’s walls that would enable us to develop a more holistic ... data sources that can help inform us of a member’s needs and wants. The first two are publicly available ...- 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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Biosimilars, Part 3: Humira Biosimilar Launches
which began in January with the arrival of Amgen’s Amjevita on the market. The launch of Amjevita kicks ... which began in January with the arrival of Amgen’s Amjevita on the market. The launch of Amjevita kicks ...- Authors: Tony Pistilli, Greg Warren
- Date: Nov 2023
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Public Policy
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Biosimilars, Part 4: The Financial Impact
financial impact that could result from this year’s big event. Savings from biosimilars have accelerated ... financial impact that could result from this year’s big event. prescription drug costs, health care payment ...- Authors: Greg Warren, Tony Pistilli
- Date: Nov 2023
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Public Policy
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
improve credibility enough that a larger provider's own prior period experience can be used directly, ... for providers to trust. Questions of the form “it's not clear or fair that I should be measured based ...- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; 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; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Quantifying Long Term Effects of COVID-19 on Health Care Costs
Quantifying Long Term Effects of COVID-19 on Health Care Costs Through the sponsorship of the Robert ... their wisdom, insights, advice, guidance, and arm’s-length review of this study prior to publication.- Authors: Society of Actuaries
- Date: Apr 2023
- Topics: Experience Studies & Data; Experience Studies & Data>Morbidity; Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Experience Studies & Data>Rate calculations; Health & Disability>Claims - Health & Disability
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New Contract Medicare Star Ratings: Why The Sudden Cliff?
TIMELINE FOR MEDICARE ADVANTAGE STAR RATINGS The table below illustrates the various aspects of the Star ... impact a Medi- care Advantage plan financially. Table A1 below gives the breakdown of the Quality Bonus ...- Authors: Suzanna-Grace Sayre, Danielle Beierle
- Date: Jan 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance