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  • Building Actuarial Cost Models From Health Care Claims Data
    Building Actuarial Cost Models From Health Care Claims Data Using Healthcare Claims Data to Create Actuarial ... Business intelligence;Data mining=Big data;Managed care 6442476744 6/1/2017 12:00:00 AM ...

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    • Authors: William Bednar
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence
  • An Actuarial Model to Improve Health and Reduce Costs
    disease and reduce health care costs Health care costs;Health care reform;Health care quality;Chronic illness ... models=Health care payment models;Payment reforms=Health care payment reforms;Preventative care;Wellness ...

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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 Issue 73, October 2013
    Health Watch Issue 73, October 2013 The entire issue of Health Watch. Health care costs;Health ... issue of Health Watch. Health care costs;Health care quality;Health care reform;Medicaid;Medicare 6442451562 ...

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    • Authors: Karen Perry, Society of Actuaries
    • Date: Oct 2013
    • Competency: Results-Oriented Solutions>Actionable recommendations
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
  • Health Watch, Issue 79, December 2015, Health Watch
    teeism;Absenteeism;Smoking and mortality;health care reform;actuarial standards of practice;Regression ... efficiency;Product development;Health risks;Health care costs;marketing and distribution 6442465062 12/1/2015 ...

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    • Authors: Society of Actuaries
    • Date: Dec 2015
    • Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Professional Values>Ethical standards; Relationship Management>Team leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Experience Studies & Data>Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science
  • The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
    The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries Explanation ... Financial planning; Health care reform; Health insurance; Health policy; Managed care; 4294991587 5/1/2012 ...

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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
  • Navigating Cost-Sharing Reduction Subsidy Defunding
    Navigating Cost-Sharing Reduction Subsidy Defunding This paper will examine why CSR defunding ... 2020 premiums. Patient Protection and Affordable Care Act, Rate regulation, Individual health plans 3/14/2019 ...

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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
  • Recommendations for a Successful ACA Rate Filing
    Recommendations for a Successful ACA Rate Filing Summary of common mistakes made by actuaries ... Peer Review process. Health insurance;Affordable Care Act;Rate regulation 6442471998 11/1/2016 12:00:00 ...

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    • Authors: Joseph Slater
    • Date: Nov 2016
    • Competency: Communication>Difficult message delivery; Communication>Oral communication; Communication>Persuasive communication; Communication>Written communication; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Health & Disability>Health insurance; Public Policy
  • Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
    Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost ... populations in targeted geographies. Accountable care organizations = ACO;Guaranteed minimum withdrawal ...

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    • 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
  • Do Individuals Make Sensible Health Insurance Decisions
    office visit copayment levels ($15 for pri- mary care physician (PCP)/$40 for specialist; $25 for PCP/$35 ... School of Business.1 For many Americans, health care spending represents a meaningful portion of their ...

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    • Authors: Alexander Leung, Jonah Yearick, Randy P Herman
    • Date: Nov 2016
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Economics>Behavioral economics; Economics>Health economics; Health & Disability>Health insurance; Technology & Applications>E-commerce