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Better Care Through Understanding the Customer Not Just the Patient
As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical ... patients are in health care facilities. Yet most people spend only a small fraction of their time in these ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Possible Future of U.S. Healthcare
Possible Future of U.S. Healthcare What is the difference between a Single-Payer and Universal Health ... Health Care System, and how could the U.S. implement a system that would reduce the growth of medical costs ...- Authors: Roy Goldman
- Date: Nov 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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ACLI Update: Update on Noncoordinated Benefits
Noncoordinated Benefits Discussion of recent developments in the taxation of noncoordinated benefits such as ... TIMES, we discussed a proposal in the General Explanations of the Administration’s Fiscal Year 2023 Revenue ...- Authors: Sarah Lashley, Regina Y Rose, Mandana Parsazad
- Date: Oct 2023
- Competency: External Forces & Industry Knowledge
- Publication Name: Taxing Times
- Topics: Health & Disability; Health & Disability>Accident insurance; Health & Disability>Critical illness insurance; Health & Disability>Health care quality; Health & Disability>Health insurance; Public Policy; Public Policy; Public Policy; Public Policy; Health & Disability>Affordable Care Act (ACA)
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The Heart of the Matter
The Heart of the Matter Feature article with helpful hints on video conferencing and more! Reinsurance ...- Authors: Mairi Mallon
- Date: Jul 2020
- Competency: Communication; External Forces & Industry Knowledge
- Publication Name: Reinsurance News
- Topics: Demography; Demography>Longevity; Health & Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Demography>Mortality improvement
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
Addressing the Challenge of Volatility in Value-Based Contracts—Part 2 Discover the key components of value-based ... value-based care (VBC) contracts and their impact on provider credibility. Learn about benchmarks, measurement ...- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Yi-Ling Lin: SOA Predictive Analytics Program Prepares You for Health Care’s Future
Prepares You for Health Care’s Future Yi-Ling Lin, FSA, MAAA, FCA, started the SOA’s Predictive Analytics ... keep pace with the impact big data and predictive modeling is having on the health care industry predictive ...- Authors: Society of Actuaries
- Date: Nov 2019
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques; Predictive Analytics>Programming languages & tools; Health & Disability>Electronic medical record
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Health Plan Strategic Implications of MACRA
Health Plan Strategic Implications of MACRA The SOA is pleased to make available a research report providing ... considerations for the actuarial profession in assessing the potential risk and opportunities of MACRA to both ...- Authors: Julie Witt, James Dolstad, Eric Carl McKeeman, Betty Siu
- Date: Aug 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Affordable Care Act (ACA)
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Money Matters: Making Medicaid Payment More Effective Through Population-Based Payment
implementing value-based payment (VBP) models for the last decade and are increasingly exploring advanced ... advancing Medicaid priorities, but are still in the early stages of development, and model design and implementation ...- Authors: Anne Smithey, Kelsey Brykman
- Date: May 2023
- Competency: External Forces & Industry Knowledge
- Publication Name: In The Public Interest
- Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Social Insurance; Social Insurance>Medicaid; Health & Disability>Provider risk
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Session 079: Canadian vs. U.S. Health Care: A Study in Contrasts
vs. U.S. Health Care: A Study in Contrasts The presenters will compare and contrast the Canadian public ... private) health care system in juxtaposition to U.S. health care. Specialized knowledge of either system ...- Authors: Karen Shelton, ELLA EILEEN YOUNG, Kurt Wrobel
- Date: Jan 2020
- Competency: Strategic Insight and Integration
- Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability
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Health Plan Strategic Implications of MACRA
Health Plan Strategic Implications of MACRA The SOA is pleased to make available a research report providing ... considerations for the actuarial profession in assessing the potential risk and opportunities of MACRA to both ...- Authors: Society of Actuaries
- Date: Aug 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Affordable Care Act (ACA)