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Money Matters: Making Medicaid Payment More Effective Through Population-Based Payment
drastic decrease in demand for services during COVID-19.[17] Offering revenue stability for provider ... Alternative Payment Models 2022 Methodology and Results Report.” 2022. Available at: http://hcp-lan.org/workp ...- Authors: Anne Smithey, Kelsey Brykman
- Date: May 2023
- Competency: External Forces & Industry Knowledge
- Publication Name: In The Public Interest
- Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Social Insurance; Social Insurance>Medicaid; Health & Disability>Provider risk
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Better Care Through Understanding the Customer Not Just the Patient
better health outcomes and help them live a healthier life. Given the benefits and the fact that annual wellness ... people seek out? If you could consider a persistency report and see that 20 percent of your members lapse, ...- 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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Direct Contracting and Other Models: How CMS, Providers, and Employers Continue to Challenge the Status Quo
total cost of care (sometimes including Rx) • SOA report found statistically significant reductions in emergency ... “Medicare Fiscal Cliff” – As of the 2020 Trustees Report, the estimated depletion date for the Hospital ...- Authors: Matthew Smith, James Gerald Lucas, Brian Allen Sweatman
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Payment models
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Ehren Nagel: SOA Predictive Analytics Certificate Has Positively Impacted My Work
Ehren Nagel: SOA Predictive Analytics Certificate Has Positively Impacted My Work Early ... him. But when he began working on a stochastic mortality project, he realized the SOA’s Predictive Analytics ...- Authors: Society of Actuaries
- Date: Nov 2019
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques; Predictive Analytics>Programming languages & tools; Health & Disability>Electronic medical record
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Session 169: Risk Adjustment in Medicaid: Recent Developments
a degree in Finance • Joined Wakely Consulting Group in 2012 • Principal in Denver Office – Primary focus ... outcomes. These conditions include a wide spectrum of life factors—income, housing, education, food access ...- Authors: Edward M Mailander, Daniel Henry
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Payment models; Public Policy; Public Policy
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The Revolutionary Actuary
The Revolutionary Actuary The article provides insights about the need for revolutionary actuaries ... participated this year in building one of the COVID-19 models that were presented to the top official ...- Authors: Ashwag Alzahrani
- Date: Oct 2020
- Competency: External Forces & Industry Knowledge; Professional Values; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: International News
- Topics: Actuarial Profession; Health & Disability; Health & Disability>Health care; Health & Disability>Payment models; Health & Disability>Vision
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Yi-Ling Lin: SOA Predictive Analytics Program Prepares You for Health Care’s Future
Yi-Ling Lin: SOA Predictive Analytics Program Prepares You for Health Care’s Future Yi-Ling ... health care industry. Now a principal at Terry Group, she combines her business knowledge with her predictive ...- Authors: Society of Actuaries
- Date: Nov 2019
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques; Predictive Analytics>Programming languages & tools; Health & Disability>Electronic medical record
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Session 095: Drug Claim Management - Lessons from Canada
Spend By Benefit Sources: Fraser Group Universe (private group insurance) Assumption: Drugs = 70% of ... 33% 18% 22% 14% 9% 5% Drugs LTD Dental Life/ADD/CI Medical STD What are the trends in drug ...- Authors: Daniel Berty, Martin Chung, Erin Crump, Ned Pojskic
- Date: Feb 2020
- Competency: Results-Oriented Solutions
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Payment models
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Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans?
Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans? Can ... provider. According to a survey of large employers from the National Business Group on Health (NBGH), 11 ...- Authors: Andrew James Timcheck, Cory Gusland, Michael Gaal
- Date: Dec 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Payment models
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Possible Future of U.S. Healthcare
Possible Future of U.S. Healthcare What is the difference between a Single-Payer and Universal ... certain quality-of-life mea- sures, such as life expectancy at birth and infant mortality rate. On the other ...- 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