1
-
6
of
6
results (1.11 seconds)
Sort By:
-
Navigating New Horizons . . . An Interview with Dave Axene
have a wonderful ability to go with the flow of life, putting everything he has into what he is doing ... entertaining the idea of going for his doctorate when life led him in a dif- ferent direction. He fell in love ...- Authors: Sarah Lawrence
- Date: Sep 2010
- Competency: Communication; Professional Values>Practice expertise; Professional Values>Public interest representation; Relationship Management>Relationships and trust
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Best practices; Public Policy
-
Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
relationship where the health plan, hospital and medical group work in silos, unable to effectively or efficiently ... put all the players—the hospital, the physician group and the health plan—on the same side, with the ...- Authors: Edward Cymerys
- Date: May 2013
- Competency: Relationship Management>Relationships and trust; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Payment models
-
Leader Interview
skill set that is incredibly valuable in “real life.” For example, shortly after the passage of the ... new marketplace in both the individual and small group markets. Prior claim experience was virtually worthless ...- Authors: Paul E Stordahl
- Date: Jun 2018
- Competency: Leadership>Mentoring; Leadership>Thought leadership; Professional Values>Practice expertise; Relationship Management>Relationships and trust
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
-
How to Survive and Maybe Even Benefit from Medicare Advantage and Prescription Drug Bid Reviews and Audits
upcoming contract year), actuarial technical user group calls and notes (starting each April), the February ... automatically performed as part of the bid audit report received in mid-spring, but it should be done ...- Authors: Michael Cook
- Date: May 2011
- Competency: Communication; Professional Values; Relationship Management>Relationships and trust
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Social Insurance>Medicare
-
Effective Contracting with Pharmacy Benefit Managers: Protecting a plan sponsor’s resources
Office of the Actuary, National Health Statistics Group; and U.S. Department of Commerce, Bureau of Economic ... either provide information used to cre- ate AWPs, or report AWPs to the companies that publish AWPs. Since ...- Authors: Robert Gordon Cosway, Brian Anderson
- Date: Feb 2010
- Competency: Communication; Relationship Management>Relationships and trust
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality
-
Health Actuaries and the Short-term Prediction Problem
Health Actuaries and the Short-term Prediction Problem This article discusses challenges that short-term ... dramatically impacted by exogenous factors. Mortality tables would be an example of this long-term ...- Date: May 2012
- Competency: Communication>Oral communication; Communication>Written communication; External Forces & Industry Knowledge>General business skills; Leadership>Influence; Professional Values>Practice expertise; Relationship Management>Relationships and trust; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Management partnership
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing