Announcement: SOA releases passing candidate numbers for April 2024 Exam PA.

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  • The Next Horizon of Value-based Care: An Opportunity for Actuaries to Become Pioneers in Health Care
    value-based care (as opposed to primary-care based) in the U.S. has consistently been a top-of-mind topic for all ... moving from “hire an actuary when we need one” to “let’s start the company with an actuary from day one”—as ...

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    • Authors: Yuxiao Zhao
    • Date: Aug 2023
    • Competency: External Forces & Industry Knowledge; Leadership; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Innovators & Entrepreneurs
    • Topics: Actuarial Profession; Actuarial Profession>Alternative careers; Health & Disability; Health & Disability>Health care
  • 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 ...

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    • 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
  • The Minnesota Antiselection Model
    certain unmeasured (and perhaps unmeasurable) variable, s of human behavior. In a voluntary insurance environment ... of this calculation are shown in the following table, for a variety of penetration percentages: Penetration ...

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    • Authors: Application Administrator
    • Date: Jan 1991
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Actuarial Research Clearing House
    • Topics: Health & Disability>Health care; Modeling & Statistical Methods; Public Policy
  • 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 ...

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    • 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
  • Behavioral Economics: Overview and Healthcare Applications
    tends to increase potential donor consent rates. Table 1 presents a summary of examples of possible applications ... theory to health and welfare insurance plans. Table 1 Sample Applications of Behavioral Economics Theories ...

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    • Authors: Randy P Herman, Tony Pistilli, Brian Plaskow, Jeffrey Chanin
    • Date: Aug 2020
    • Competency: External Forces & Industry Knowledge; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Economics; Economics>Behavioral economics; Economics>Health economics; Health & Disability; Health & Disability>Health care
  • Valuation of Care Management Vendors
    Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings ... costs changed that. As an increasing part of the U.S. gross domestic product and American workers’ paychecks ...

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    • Authors: Rick S Pawelski
    • Date: May 2020
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models