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  • An Interview: Dr. Uwe Reinhardt
    take in the health care system reforms. Assumptions;Episode-based payment;Health care costs;Health factors;Medical ... factors;Medical expenses;Payment reforms=Health care payment reforms;Risk adjustment; 9515 9/1/2009 12:00:00 ...

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    • Authors: Mary Kindel Van der Heijde, Douglas Norris
    • Date: Sep 2009
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Traditional careers; Enterprise Risk Management; Health & Disability>Health risks; Health & Disability>Payment models
  • 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