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Managing Population Health
Managing Population Health This article defines population health and discusses what is needed to manage population health under value based contracts. Population Health 6442468674 5/1/2016 12:00 ...- Authors: Daniel Pribe
- Date: May 2016
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Two Issues in the US Healthcare System
Two Issues in the US Healthcare System Essay discussing that the two factors that affect healthcare cost are costs and the fact that people lack coverage. Funding policy;Government-funded ...- Authors: Brian Arthur Jones
- Date: Jun 2009
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Strategy development
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Public financing - Health & Disability; Public Policy
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Considerations for Surplus Determination under ACA
Considerations for Surplus Determination under ACA Discussion of the impact of the ACA on RBS and required surplus for a health plan Risk-based capital=RBC;Patient Protection and Affordable Care ...- Authors: Daniel Pribe, Richard Tash, David M Tuomala
- Date: May 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level Presenters discuss the differences between patient treatment protocols and length-of-stay guidelines, and ...- Authors: Donna Kalin, Deborah Loveland, William E Mabe
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance
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An Overview of Health Issues and Recent Developments for the Non-Health Actuary
An Overview of Health Issues and Recent Developments for the Non-Health Actuary This session discussed about expected trends in medical care costs, changes in Medicare reimbursement practices and ...- Authors: Phyllis Doran, Roland E King, Charles Larimer, Joseph W Moran, John K Ninomiya
- Date: Apr 1986
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health care; Long-term Care>Long-term care insurance; Public Policy; Social Insurance>Medicare
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The Alternative to the Medical Scheme Model for Africa
The Alternative to the Medical Scheme Model for Africa The medical scheme approach adopted by several African countries has failed to meet the needs of those in informal employment and rural ...- Authors: Kudzai Chigiji
- Date: Jan 2016
- Competency: Communication>Persuasive communication; Leadership>Influence; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: International News
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article compares the Prescription Drug Plan (PDP) market to the commercial individual market exchanges included ...- Authors: Shelly Brandel
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
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How to Make Health Care More Affordable
How to Make Health Care More Affordable This session making health care more affordable through health care reform, changes to tax policy, and managed care. From Record of Society of ...- Authors: Charles Larimer, Eric L Smithback, Greg Scandlen, Andrea King
- Date: Oct 1992
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Public Policy
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Health Insurance - Legislation and Inflation
Health Insurance - Legislation and Inflation Discussion of possible national health care reform measures, including coverage for the unemployed, employer-mandated plans, publicly funded and ...- Authors: Richard H Hoffman, William C Hsiao, Robert J Myers, William Thomas
- Date: Apr 1975
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; 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; Health & Disability>Health care; Public Policy; Public Policy
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Managing Mental Health Cost
Managing Mental Health Cost This session discusess managing mental health cost through benefit structures, utilization review, and mandated benefits. From the Record of the SOA 1990 Vol. 16 No.- Authors: John Fritz, Lynette Trygstad, Eugene D Hill, Sandra M Hittman
- Date: Apr 1990
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care