1
-
10
of
14
results (0.88 seconds)
Sort By:
-
Human Nature and the US Health Care System, Part I
and the US Health Care System, Part I The third in a series of four articles that illustrate the “soft” ... “soft” approach of game theory using Thucydides’ master work, The History of the Peloponnesian War. By ...- 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
-
Twenty-Four-Hour Health Coverage
constraints and the role the NAIC is playing to help facilitate 24-hour programs, plan design issues, the use of ... managed care, coverage as part of a workers' compensation plan versus coverage of health care outside ...- Authors: James E Drennan, Godfrey Perrott, Eric C Nordman
- Date: Oct 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Disability insurance; Health & Disability>Health insurance; Public Policy; Reinsurance>Product development - Reinsurance
-
New Member Impact on Medicaid Managed Care Costs
Impact on Medicaid Managed Care Costs In this article, the authors explore how the recession has impacted ... impacted new member enrollment in the various state health care programs and the resulting impact on trend.- Authors: Bela H Patel Fernandez, Jeffrey L Smith
- Date: Feb 2010
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data>Morbidity; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
-
Health Care Financing Systems Around the World
Health Care Financing Systems Around the World Presenter describes many of the desirable characteristics ... characteristics of a health care financing system, and alternative health care financing systems as they are found ...- Authors: Chiu-Cheng Chang
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Global Perspectives; Health & Disability>Health care; Health & Disability>Payment models; Public Policy
-
Profiling Physician Performance
Panelists discuss the methods HMOs employ to measure their providers' quality of care, outcomes, compliance ... From the Record of the Society of Actuaries, Vol. 25, No. 2. Health care costs;Health care quality;Health ...- Authors: Joel C Hoffman, David Josephson, David Terry, John C Vataha, Kelly Myers
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Ethics; Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Regression analysis; Modeling & Statistical Methods>Simulation
-
Bariatric Surgery Holds Promise for Patients and for Payors
Payors An economic analysis of bariatric surgery and health care costs supports the case for health plans to ... to cover these procedures. Health care costs;Obesity;Value-based insurance design;Data quality; 25714 ...- 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
-
Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
Managed Care Organizations: Getting a Bigger Bang for the Buck Panel discusses the effects of reduced ... to many Medicare managed care organizations. From the Record of the Society of Actuaries, Vol. 24, No ...- Authors: Oscar Lucas, Peggy Tyndall
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
-
Review: “Health Insurance for ‘Humans’: Information Friction
Insurance for ‘Humans’: Information Friction A review of the academic article "Health Insurance for ‘Humans’: ... Behavioral economics;Health economics;Health care costs 6442471991 11/1/2016 12:00:00 AM ...- Authors: Christopher Coulter, Kathleen Dobrzynski, Tyler Engel, Dorothy Andrews
- Date: Nov 2016
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics; Economics>Health economics; Health & Disability>Health care
-
From The Editor
From The Editor A look into the issues’ contents. By Carlos Fuentes Models;Strategy;Artificial int ... passions have in common? They are the subjects of our current issue of Innovators & Entrepreneurs. But ...
- Authors: Carlos Eduardo Fuentes
- Date: Nov 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>General business skills; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Innovators & Entrepreneurs
- Topics: Actuarial Profession>Management skills; Economics>Health economics; Economics>Macroeconomics; Modeling & Statistical Methods>Estimation methods
-
Validating a Novel Health Insurance Fraud Detection Method
detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for fraud detection ... Health care fraud;Predictive modeling;Medicare;Health insurance;Health economics;Health care costs;Data ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; 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: Risk Management
- Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics