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  • Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment”
    Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment” ACA risk adjustment ... Family Foundation (KFF) states it this way, “The ACA’s risk adjustment program is intended to reinforce market ...

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    • Authors: Greg Fann
    • Date: Jun 2022
    • Competency: Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Experience Studies & Data; Health & Disability>Health care
  • Understanding Health in the Big Picture
    modifiable contributors to health outcomes.[3] The U.S. Department of Health and Human Services (HHS), in ... health outcomes. Am J Prev Med 49, no. 6:961–969. [4] U.S. Department of Health and Human Services. Social ...

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    • Authors: Jill Van Den Bos, Stoddard Davenport
    • Date: Aug 2021
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health risks
  • Response to March 2021 Practice Note on ASOP 6
    than the consulting actuary’s statement of opinion on a private employer’s financial statement disclosure ... closed, they remain a material liability for many U.S. companies and public sector entities. As is so often ...

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    • Authors: Charles Edwards
    • Date: Aug 2022
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Experience Studies & Data>Morbidity; 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