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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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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 ...- 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
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AI and EMRs: Pioneering the New Frontier in Healthcare Actuarial Practice
• Uncovering Risk Score Capture Opportunies: Ulizing EMR data can reveal addional risk score ... mechanism%20for%20achieving%20this%20goal 2) Zhao, S. (2023, August). The Next Horizon of Value-based Care: ...- Authors: Netanel Lederer
- Date: May 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health information technology; Health & Disability>Provider risk; Health & Disability>Electronic medical record
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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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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 ...- 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