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  • Pharmacoeconomics: Why ShouldActuaries Care?
    Pharmacoeconomics: Why ShouldActuaries Care? Article presents arguements for actuarial involvement to ... research within managed care organizations MCO. Issue No. 44. Managed care;Prescription drug costs; ...

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    • Authors: Jill Van Den Bos
    • Date: Oct 2002
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Health Watch
    • Topics: Economics>Health economics
  • Medicaid Risk-Based Managed Care Financial Results: A Decade in Review
    Medicaid Risk-Based Managed Care Financial Results: A Decade in Review This article provides an overview ... overview of the financial results of managed care plans over time using a collection of the NAIC financial ...

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    • Authors: Jeremy Palmer
    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Practice expertise
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Finance & Investments>Risk measurement - Finance & Investments; Financial Reporting & Accounting>Statutory accounting
  • Navigating New Horizons…Dawn E. Helwig, FSA, MAAA
    developments in the Long Term Care market. Assumptions;Funding policy;Home health care;Lapse rates=Lapses;Life ... rates=Lapses;Life expectancy;Long-term care=LTC;Long-term care insurance=LTCI;Skilled nursing facilities=SNF;Underwriting; ...

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    • Authors: Mary Kindel Van der Heijde
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Experience Studies & Data>Long-term care - Experience Studies & Data; Long-term Care>Long-term care insurance; Long-term Care>Public financing - Long-term Care
  • Bariatric Surgery Holds Promise for Patients and for Payors
    Bariatric Surgery Holds Promise for Patients and for Payors An economic analysis ... health care costs supports the case for health plans to cover these procedures. Health care costs;Obesity;Value-based ...

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    • Authors: John Dawson, Pierre-Yves Cremieux, Arindam Ghosh
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining
  • Getting Actuaries More Engaged in Population Health
    determinants of health personal behaviors, medical care and the public health infrastructure, as well as ... to maximize the health of populations. Health care costs;Health factors;Policyholder behavior; 25718 ...

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    • Authors: Robert D Lieberthal
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Alternative careers; Economics>Health economics; Health & Disability>Health care quality; Public Policy; Technology & Applications>Analytics and informatics
  • Consumers to the Rescue? A Primer on HDHPs and HSAs
    nearly a century.1 From employer- provided health care to employer- sponsored health insurance to health ... long sought a tool that can limit annual health care expenditure growth to roughly the overall rate of ...

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    • 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
  • Design and Pricing of Tiered Network Health Plans
    Design and Pricing of Tiered Network Health Plans This article discusses the advantages, logistical ... quality and cost-effectiveness standards. Accountable care organizations= ACO;Assumptions;Behavioral econo ...

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    • Authors: Peter Horman
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Modeling & Statistical Methods