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  • Massachusetts Payment Reform from an Actuarial Perspective
    Massachusetts Payment Reform from an Actuarial Perspective The article is a case study of various actuarial concepts invovled in the design and implementtion of the AQC - a global budget provider ...

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    • Authors: Matthew Day, Jill Wilson
    • Date: May 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Public Policy
  • Medicare Advantage risk scores – Are you competitive?
    Medicare Advantage risk scores – Are you competitive? What you need to know about risk scores to be competitive in the Medicare Advantage market. Medicare;Risk adjustment;Health insurance;Return ...

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    • Authors: Corey Berger
    • Date: Oct 2018
    • Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
  • Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
    Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model As providers are considering accountable and value based care models, it is critical to ...

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    • Authors: Mark Bethke, James M Whisler, Amanda Holland
    • Date: May 2013
    • Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy