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  • 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
  • Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
    Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal ... payment issues by gradually moving to accountable care organizations. Capitations would be risk-adjusted ...

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    • Authors: Mark Florian
    • Date: Sep 2010
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance
  • 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
  • The Impact of Family Structure on Spare Capacity and Health Care Utilization
    of Family Structure on Spare Capacity and Health Care Utilization This article is based on a third party ... health care utilization. Health care costs;Health care quality;Health care reform;Health care utilization ...

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    • Authors: Philip Castevens
    • Date: Jan 2014
    • Competency: Results-Oriented Solutions>Actionable recommendations
    • Publication Name: Health Watch
    • Topics: Public Policy; Public Policy
  • 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 72, May 2013
    Health Watch, Issue 72, May 2013 May 2013 issue of the Health Watch newsletter Health Care ... Health Watch newsletter Health Care Costs;Health Care Quality;Health Care Reform;Medicaid;Medicare 6442450973 ...

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    • Authors: Society of Actuaries
    • Date: May 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
  • 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
  • Soundbites from the American Academy of Actuaries' Health Practice Council Activities
    forces, to educate health care policymakers on issues including health care reform, Medicare, loss ratios ... Cancer;Financial reporting;Health care quality;Long-term care=LTC;Loss ratio=LR;Medicaid;Medicare;Premiums;Risk ...

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    • Authors: Heather E Jerbi, Tim M Mahony
    • Date: May 2011
    • Competency: Communication>Written communication; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Health & Disability; Public Policy