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  • Health Care Reform: Essential Health Benefits and Actuarial Value
    the age of 19 years. AUGUST 2015 THE ACA@5 | 17 CONTINUED ON PAGE 18 ically define or provide cover- ... Medical Prescription Drug Total Platinum 14% 29% 17% Gold 7% 15% 9% Silver 1% 14% 3% Bronze 0% 0% ...

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    • Authors: Catherine Knuth
    • Date: Aug 2015
    • 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
    • Topics: 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; Health & Disability>Public financing - Health & Disability
  • Inventory – Measurement of Healthcare Quality and Efficiency
    Program Incentive/Reward Programs HQ HE PQ PE 49 17. AQA Alliance Physician Practice Measures Standards ... Uqe17zHvTSevTSeSSSSSS --&fn=aprdrg_fs.pdf 17 All weblinks were updated in 2013. Written material ...

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    • Authors: Ian G Duncan, Greger J Vigen, Sheryl Coughlin
    • Date: Jan 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Topics: Health & Disability>Health care quality; Technology & Applications>Analytics and informatics
  • Measurement of Healthcare Quality and Efficiency: Resources for Healthcare Professionals - Updated
    © 2013 Society of Actuaries, All Rights Reserved 17 of 65 and LEAN production improvement techniques ... publication “Medicare Resource Use Measurement Plan,”17 Resource use can be defined in many ways. Researchers ...

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    • Authors: Ian G Duncan, Greger J Vigen, Sheryl Coughlin
    • Date: Dec 2013
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Topics: Health & Disability>Health care quality; Technology & Applications>Analytics and informatics
  • Mental Health Insurance Parity
    or productivity reductions because of mental 17 Mental Health Insurance Parity health and behavioral ... C-section rates Epidural anesthesia, labor/delivery 17% 35% 25% 49% 40% 1.5 days 56% 85% Lastly ...

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    • Authors: Stephen P Melek
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
  • Measurement of Healthcare Quality and Efficiency: Resources for Healthcare Professionals - Inventory of Programs and Organizations
    Program (Q-HIP) Incentive/Reward Programs HQ 17. AQA Alliance Physician Practice Measures Standards ... financial incentives for adverse patient selection 17 This report contains extracts of publicly‐available ...

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    • Authors: Ian G Duncan, Greger J Vigen, Sheryl Coughlin
    • Date: Jan 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Topics: Health & Disability>Health care quality; Technology & Applications>Analytics and informatics
  • Defining Best-In-Market Health Opportunities
    Defining Best-In-Market Health Opportunities Panelists discuss employers' perspective of defining ... employees, not as a health care consultant. But 17 Defining "Best-In-Market" Health Opportunities ...

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    • Authors: Dale Yamamoto, Mindy S Kairey
    • 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>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
  • Draft - Evaluating the Reliability and Validity of The Health Plan Employee Data and Information Set
    Draft - Evaluating the Reliability and Validity of The Health Plan Employee Data and Information Set The Health ... DRAFT/NOT FOR DISTRIBUTION 1/15/2003 17 Overall, HBA data contains information similar ...

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    • Authors: Denise Love, Luis Manuel C Paita, IRINA GRABOVSKY
    • Date: Jan 2003
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care quality
  • Measurement of Healthcare Quality and Efficiency: Resources for Healthcare Professionals Updated
    Measurement of Healthcare Quality and Efficiency: Resources for Healthcare Professionals Updated Report ... © 2011 Society of Actuaries, All Rights Reserved 17 of 64 The combination – financial challenges, ...

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    • Authors: Ian G Duncan, Greger J Vigen, Sheryl Coughlin
    • Date: Jan 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Topics: Health & Disability>Health care quality; Technology & Applications>Analytics and informatics