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The Formulary Decision Process: What Are They Doing in There and Can Actuaries Help?
pharmaceutical benefit trends have increased at rates of 17 percent to 18 percent.2 The explosive pharmaceutical ... 2002-2003. Available at www.amcp.org. Accessed February 17, 2004. 20Neumann, P. "Evidence-based and value-based ...- Authors: Jonathan L Shreve, Jill Van Den Bos, John Watkins, Kristin Reed
- Date: May 2011
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Influence
- Topics: Economics>Health economics; Health & Disability>Health care
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Consumers to the Rescue? A Primer on HDHPs and HSAs
Medicaid beneficiaries make monthly contribu- tions.17 However, states have struggled to pinpoint the segments ... medical health care. FEBRUARY 2019 HEALTH WATCH | 17 Expansion of Plans That can be Paired With HSAs ...- Authors: Fritz Busch, Barbara Collier, Jason Karcher , Steven Phillips
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
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Providing Prescription Drug Coverage for Medicare Beneficiaries
still have patent protection. Drug patents last for 17 years, but the average time from the point a drug ... plans will only pay for generic versions of a drug.17 Mail Order Drugs Many PBMs provide mail order capabilities ...- Authors: American Academy of Actuaries
- Date: Jul 2000
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance
- Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Social Insurance>Medicare
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Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level Presenters discuss the differences between patient ... a 17 Use of Treatment Protocols to Manage Hospital Utilization ...- Authors: Donna Kalin, Deborah Loveland, William E Mabe
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance
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Defining Best-In-Market Health Opportunities
Defining Best-In-Market Health Opportunities Panelists discuss employers' perspective of defining ... employees, not as a health care consultant. But 17 Defining "Best-In-Market" Health Opportunities ...- Authors: Dale Yamamoto, Mindy S Kairey
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
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Health Insurance Portability and Accountability Act - One Year Later
Health Insurance Portability and Accountability Act - One Year Later Panelists discuss the ongoing ... my home state of Nebraska we're going to assess $17 million in 1999. For 1998, we assessed $8.5 million ...- Authors: Cecil Bykerk, Donna C Novak, Julie Walton
- Date: Oct 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Profiling Physician Performance
Profiling Physician Performance Panelists discuss the methods HMOs employ to measure their providers' quality of care, outcomes, compliance ... 17 out the referral patterns. What needs to be done ...- Authors: Joel C Hoffman, David Josephson, David Terry, John C Vataha, Kelly Myers
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Ethics; Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Regression analysis; Modeling & Statistical Methods>Simulation