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  • The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death!
    The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death! A ...

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    • Authors: John Dante
    • Date: Sep 2010
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Public Policy
  • The Age Wave, the Ocean State, and Long-Term Care
    the Ocean State, and Long-Term Care Rhode Island’s unique “global Medicaid waiver” pursues a potentially ... seriously damage the state’s social safety net. To maximize the global waiver’s opportunity, minimize its ...

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    • Authors: Stephen Moses
    • Date: Dec 2009
    • Competency: Communication>Persuasive communication; Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations
    • Publication Name: Long-Term Care News
    • Topics: Long-term Care>Medical expenses; Long-term Care>Public financing - Long-term Care; Long-term Care>Long-term care facilities & home care; Public Policy; Social Insurance>Medicaid
  • The Impact of Family Structure on Spare Capacity and Health Care Utilization
    are consistent and significant results from the U.S. Department of Labor’s Consumer Expenditure (CE) ... conclusion, see Figure 4 at the end of Appendix I for a table by age and gender. • Married people are more ...

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    • Authors: Philip Castevens
    • Date: Jan 2014
    • Competency: Results-Oriented Solutions>Actionable recommendations
    • Publication Name: Health Watch
    • Topics: Public Policy; Public Policy
  • 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) ...

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    • 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
  • Navigating Cost-Sharing Reduction Subsidy Defunding
    of 73 percent, 87 percent, and 94 percent (see Table 1). Eligibility for each of the cost- sharing variants ... cost sharing was a major driver of enrollment.2 Table 1 Enrollment in CSR Plans by Eligible Income (2017) ...

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    • Authors: Michael Cohen, Peter van Laarhoven
    • Date: Mar 2019
    • Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy
  • Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea?
    Estimate is Actuarial By Steven Siegel 40 The U.S. Health Care Revolution: Give Me an Incentivized ... t t p : / / w w w . m a s s m e d . o r g / A M / T e m p l a t e . c f m ? S e c t i o n = H o m e 6 ...

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    • Authors: Todd Lueders
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Public Policy
  • An Actuarial Model to Improve Health and Reduce Costs
    Beckman Chronic disease accounts for 86 percent of U.S. health care costs and an ever-increasing share of ... Diabetes Association, Economic Costs of Diabetes in the U.S. in 2012, http://care.diabetesjournals.org/cont ...

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    • Authors: Ken Beckman
    • Date: Oct 2017
    • Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
  • Health Watch, November 2016, Issue 81
    Wright 48 The State of Predictive Analytics in U.S. Health Care By the Society of Actuaries Health ... Sarah Osborne and Linda Williams. Interactive table discussions and a networking lunch helped to wrap ...

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    • Authors: Society of Actuaries
    • Date: Nov 2016
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Public Policy; Public Policy
  • 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 ...

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    • 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