1
-
10
of
13
results (0.47 seconds)
Sort By:
-
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
-
Issue Brief: Changing Financial Risks for Medigap Insurance, Part 1
considerations about how they are impacting Medigap. COVID-19’s Impacts The pandemic affected health insurers, payers ... their physicians and/or to require hospital stays (Table 1) in 2020 and 2021. However, two recent studies[1] ...- Authors: Kristi Bohn
- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance
-
Editorial - Managed Care Creates Key Role For Actuaries
Editorial - Managed Care ... Examples are provided. From: The Actuary, April 2000 – volume 34 - Issue 4. Health care costs;Health ... costs;Health care quality;Managed care; 13635 4/1/2000 12:00:00 AM ...- Authors: Janet Carstens
- Date: Apr 2000
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance
-
Opportunities for Bundling Medicare Supplement and Short-Term Care: The Perfect Match?
‘silver tsunami’ of the aging population in the U.S. Medicare provides generous benefits to the elderly ... home. STC is usually triggered by a policyholder’s inability to perform some of their activities of daily ...- Authors: Kenneth J Clark, Robert T Eaton
- Date: Mar 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Rates - Health & Disability; Long-term Care>Long-term care pricing; Long-term Care>Rates - Long-term Care; Long-term Care>Termination - Long-term Care
-
Our Value-Based Cup Runneth Over
Honestly, we’re not sure. (We just looked it up. It’s 37.) To make things more complicated, each contract ... of inconsistency across value-based contracts, let’s dive into one important piece of these arrangements: ...- Authors: Daniel Reck (Dan), Lisa Swan, Sam Johnmeyer
- Date: Aug 2022
- Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Provider risk
-
Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2
50% in 2023.[1] This growth has cut into Medigap’s market share (though not overall enrollment counts) ... administrative and financial risk of enhancing benefits. MA’s broad annual flexibility to include dental, vision ...- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance; Public Policy; Public Policy
-
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
-
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
-
Medical Loss Ratio: An Entrepreneurial Approach to Health Care Reform
Approach to Health Care Reform by Mark Florian Annuity Clearinghouse Proposal by Beverly J. Orth Medical ... and in establishing relationships with reinsurer(s) and efficiency improvement firms. This venture involves ...- Authors: Mark Florian
- Date: Aug 2011
- Competency: Strategic Insight and Integration
- Publication Name: The Independent Consultant
- Topics: Health & Disability>Health insurance; Public Policy
-
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