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Recent Developments in the Health Care Market
Summary of a presentation made by the author to the Government Finance Officer’s Association ... practices. It include discussion of trends with health care providers pertaining to use of technology and billing ...- Authors: Michael Frank
- Date: Feb 2019
- Competency: Communication; External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: General Insurance (Property & Casualty)>Claims - General Insurance; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Life Insurance>Claims - Life Insurance; Long-term Care>Public financing - Long-term Care; Health & Disability>Affordable Care Act (ACA)
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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 ... information is captured while patients are in health care facilities. Yet most people spend only a small fraction ...- 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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Valuation of Care Management Vendors
Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings by external ... external care vendors 5/1/2020 12:00:00 AM ...- Authors: Rick S Pawelski
- Date: May 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Open Ended Managed Care Plans
Managed Care Plans This session at a SOA 1990 Spring Meeting is about open ended managed care plans from ... actuarial issues. Health care costs;Health maintenance organization=HMO ;Managed care;Marketing and distribution;Medical ...- Authors: Application Administrator, Gregory N Herrle, Mary Brainerd, Ted Wise
- Date: Apr 1990
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Session 091: Medicaid Margin Assumptions - Opening the Black Box
Medicaid managed care organizations (MCOs). In this session, we will discuss the primary components of the ... assumptions in the public for the first time. Managed Care; health risks; Medicaid; Risk Measurement; Cost ...- Authors: Sabrina Gibson, Michelle L Raleigh, James Randolph Piekut, Jaredd Martin Keith Simons
- Date: May 2019
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Forecasting
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A PARAMETRIC MODEL FOR HEALTH CARE CLAIMS
A PARAMETRIC MODEL FOR HEALTH CARE CLAIMS This paper develops a parametric model for health care ... MODEL FOR HEALTH CARE CLAIMS This paper develops a parametric model for health care insurance claims ...- Authors: Bruce E Ollodart
- Date: Jan 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
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A Parametric Model for Health Care Claims
A Parametric Model for Health Care Claims This paper develops a parametric model for health care ... Model for Health Care Claims This paper develops a parametric model for health care insurance claims ...- Authors: Douglas W McKenzie
- Date: Jan 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
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Opportunities for Bundling Medicare Supplement and Short-Term Care: The Perfect Match?
Short-Term Care: The Perfect Match? This article describes Medicare Supplement and short-term care products ... as short- and long-term care (STC, LTC) provide coverage for custodial care needs towards the end of ...- Authors: Kenneth J Clark, Robert T Eaton
- Date: Mar 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Rates - Health & Disability; Long-term Care>Long-term care pricing; Long-term Care>Rates - Long-term Care; Long-term Care>Termination - Long-term Care
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Recent Developments in the Health Care Market
Recent Developments in the Health Care Market Provides an overview of developments in the healthcare ...- Authors: Michael Frank
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
- Publication Name: Small Talk
- Topics: Health & Disability>Health insurance; Health & Disability>Provider networks
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Impact of Proposed Health Care Reform on Smaller Insurance Companies
Impact of Proposed Health Care Reform on Smaller Insurance Companies This article discusses the potential ... potential characteristics of health care reform and the associated impact on small insurance companies.- Authors: Cabe Chadick, David Dillon
- Date: Nov 2009
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Small Talk
- Topics: Health & Disability>Health insurance; Public Policy