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Commercial Health Care: What’s Next?
Commercial Health Care: What’s Next? This article contains excerpts from the first three articles that ... strategic initiative - Commercial Health Care: What’s Next? health policy;Health care reform;gender factors;health ...- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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Health Enables Wealth
Health Enables Wealth Mental health spending has reached $147 billion in the United States with ... validated a low-cost, scalable solution. Prevail's clinically proven digital mental health treatment ...- Authors: Rich Gengler, Irving Steel, Stevan Hobfoll
- Date: May 2016
- Competency: Leadership>Thought leadership; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health information technology; Health & Disability>Health insurance; Public Policy; Public Policy
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Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
Provider Payment ... P F O U r W In n E r S O F T H E H E A l T H W A T C H A r T IC l E C O n T E S T Provider ... P F O U r W In n E r S O F T H E H E A l T H W A T C H A r T IC l E C O n T E S T (2) ...- Authors: Mark Florian
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance
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Transparency Leads Actuarial Survey of Trend-Benders
future health care trends. This past May, over 600 U.S. based Health Section members participated in a ... MAAA, and Consulting Actuary for Milliman, Inc. Table 1 conveys this belief, ranking the responses to ...- Authors: Sara Teppema
- Date: Sep 2010
- Competency: Communication; Leadership>Professional network leverage; Leadership>Thought leadership; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Public Policy; Public Policy
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An Interview: Shannon Brownlee
An Interview: Shannon Brownlee Shannon Brownlee shares her perspectives on the current health ... those guidelines, and the limits to consumerism's potential to fix the crisis. Consumer-driven health ...- Authors: Mary Kindel Van der Heijde, Douglas Norris
- Date: Sep 2009
- Competency: Professional Values>Public interest representation; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Public Policy; Public Policy
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Considerations for Surplus Determination under ACA
There are five separate actionable outcomes (see Table 1). For a health care insurer that is between 200 ... He can be reached at richard.tash@optum. com Table 1: Risk-Based Capital authoritative action Outcomes ...- Authors: Daniel Pribe, Richard Tash, David M Tuomala
- Date: May 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
payment percentages by star rat- ing are shown in the table in Figure 1. The percentage of the savings a plan ... rebate percentages by star rating are shown in the table in Figure 2. Special rules apply to low-enrollment ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable ... better, and the organizations are more capable. The table below summarizes the transitions needed to help ...- Authors: Mark Bethke, James M Whisler, Amanda Holland
- Date: May 2013
- Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy
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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article ... Prescription Drug Plans and Commercial Exchanges By Shelly S. Brandel and douglas A. Proebsting The Affordable ...- Authors: Shelly Brandel
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare