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The Missing 1 Percent
The Missing 1 Percent A discussion of insurance claims processing and payment systems, and how to achieve ... achieve the minimum possible number of errors. Audits;Claims processing;Claims review;Data quality; ...- Authors: Jim Del Vecchio
- Date: May 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Health information technology; Health & Disability>Electronic medical record
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Medical and Rx Technologies - What's in the Pipeline?
Medical and Rx Technologies - What's in the Pipeline? This session presents information sources ... technologies, the value of health technology assessments and clinical data typically available. From the Record ...- Authors: Lisa Tourville, Boris Garcia-Zakzuk, L SS
- Date: Jun 2005
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Health & Disability>Health information technology
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The ACA’s Medical Loss Ratio Provisions: Looking Back
The ACA’s Medical Loss Ratio Provisions: Looking Back The ACA’s Medical Loss Ratio Provisions Patient ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...- Authors: Rowen Bell
- 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
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Wall of Comments
Wall of Comments A compilation of feedback from actuaries in the Health Section of the affects of the ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...- Authors: Society of Actuaries
- 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
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Impact of Technology on Health-Care Delivery Systems
Impact of Technology on Health-Care Delivery Systems Panelist discuss issues relating to new medical technologies ... to affect the practice of medicine, the delivery of care, the costs of care, the insuring of care, claims ...- Authors: Joan P Ogden, Joseph G Korabik, Elizabeth Brown, David Snell
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Health & Disability>Health information technology
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The Opportunities During Transformation: Moving To Health Care 2.0
The Opportunities During Transformation: Moving To Health Care 2.0 Essay reforming management in health ... care, structure of reimbursement, program management, health information, measurement systems, etc. Health ...- Authors: Greger J Vigen
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance
- Topics: Enterprise Risk Management>Compliance; Health & Disability>Health care; Health & Disability>Health information technology; Public Policy; Social Insurance>Medicare; Health & Disability>Electronic medical record
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The Role of the Affordable Care Act in Payment Reform
The Role of the Affordable Care Act in Payment Reform Affordable Care Act and Payment Reform Patient ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...- Authors: Juliet Michelle Spector
- 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
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Behind Clinical Integration
activity has highlighted the importance of Clinical Integration in improving the quality, safety, efficiency ... infrastructure of the health care system. This article discusses relevance and implication of regulatory ...- Authors: Steven Tutewohl
- Date: May 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health information technology; Public Policy; Technology & Applications>Data warehousing; Health & Disability>Electronic medical record
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Taxes and Fees Introduced by the ACA
Taxes and Fees Introduced by the ACA Taxes and Fees Introduced by the ACA Patient Protection and Affordable ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...- Authors: Michael Gaal
- 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
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Final Thoughts
Final Thoughts Wrap-up of publication and thank-yous. Patient Protection and Affordable Care Act= PPACA=Affordable ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...- Authors: Valerie Nelson
- 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