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  • Session 129: Direct Primary Care – Physician Perspectives and Patient Selection
    Session 129: Direct Primary Care – Physician Perspectives and Patient Selection Direct Primary Care (DPC) is ... a newer model of primary care delivery in which patients or employers pay for care directly on a membership ...

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    • Authors: Gayle Brekke, Dustin Grzeskowiak, Achilles M Natsis
    • Date: May 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Economics>Health economics; Health & Disability>Health care
  • Direct Primary Care: Good for What Ails Us
    Direct Primary Care: Good for What Ails Us Discussion of direct primary care and how it helps with several ... several challenges in health care today. DPC improves care coordination, improves outcomes, improves ...

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    • Authors: Gayle Brekke
    • Date: May 2016
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health insurance; Health & Disability>Payment models
  • The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death!
    The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death! A ... A proposal to reform the health care provider payment system through: a national fee schedule, shifting ...

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    • Authors: John Dante
    • Date: Sep 2010
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Public Policy
  • Palliative Care
    Palliative Care This article from major US payers describes palliative care as a scaleable means of ... Payment models=Health care payment models;Health care costs;Managed care;Home health care 6442471996 11/1/2016 ...

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    • Authors: Randall Krakauer, Bruce Smith, Diane Meier, Torrie Fields
    • Date: Nov 2016
    • Competency: Leadership>Change management; Leadership>Influence; Leadership>Mentoring; Leadership>Professional network leverage; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Enterprise Risk Management>Systematic risk; Experience Studies & Data>Morbidity; Experience Studies & Data>Mortality; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models
  • To Err is Human, To Estimate is Actuarial
    the impact of medical errors on the U.S. health care system, the Health Section commissioned a research ... total measurable direct and indirect cost to the economy. Estimation methods;Health care costs; 9562 ...

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    • Authors: Steven Siegel
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Academic partnerships; Economics>Health economics; Experience Studies & Data; Modeling & Statistical Methods>Data mining
  • Examining Predictive Modeling Based Approaches for Characterizing Health Care Fraud
    Characterizing Health Care Fraud Fraud is a problem that affects all lines of insurance. Health care fraud is a ... interest of policymakers due to the level of health care spending in the U.S. and the amount of third-party ...

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    • Authors: Society of Actuaries, Robert D Lieberthal, JING AI, Skyla Smith
    • Date: Apr 2018
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
  • Managed Care Update
    Managed Care Update An update on HMO market trends and reinsurance products, and services supporting ...

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    • Authors: Mark Troutman
    • Date: May 2006
    • Competency: External Forces & Industry Knowledge; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
    • Publication Name: Reinsurance News
    • Topics: Economics>Health economics; Health & Disability>Health insurance; Reinsurance>Health reinsurance; Reinsurance>Product development - Reinsurance
  • Human Nature and the US Health Care System, Part I
    Human Nature and the US Health Care System, Part I The third in a series of four articles that illustrate ... Peloponnesian War. By Carlos Fuentes Game theory;US health care system;Cost;Access;Quality;Efficiency By Carlos ...
    • Authors: Carlos Eduardo Fuentes
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>General business skills; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Innovators & Entrepreneurs
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
  • Managing Health Care
    Managing Health Care Panel discussion of prospects for cost containment of, and alternatives to, fee-for-service ... fee-for-service health care, and management of health care under national health insurance. Discussion ...

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    • Authors: Philip Briggs, Gordon R Trapnell, John G Turner, Robert C. Ochsner, Merle H Glick
    • Date: Jun 1977
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Public Policy; Public Policy; Reinsurance>Stop-loss insurance
  • 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