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Our Value-Based Cup Runneth Over
Our Value-Based Cup Runneth Over Discussion of how to mature value-based contracts between health insurers and provider organizations to improve population health and financial sustainability.- Authors: Daniel Reck (Dan), Lisa Swan, Sam Johnmeyer
- Date: Aug 2022
- Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Provider risk
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Responsible Machine Learning: Living Up to Our Professional Code of Conduct, ASOPs, and Corporate Requirements
Responsible Machine Learning: Living Up to Our Professional Code of Conduct, ASOPs, and Corporate Requirements Actuaries are leveraging predictive modeling and machine learning more and more as ...- Authors: James Dolstad, Abby Steele
- Date: Aug 2022
- Competency: Professional Values; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Predictive Analytics
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Response to March 2021 Practice Note on ASOP 6
Response to March 2021 Practice Note on ASOP 6 Response to March 2021 Practice Note on ASOP 6 blockquote { margin: 10px 20px 20px 20px; } .block-2 { margin: 10px 20px 20px 40px; } th, td { ...- Authors: Charles Edwards
- Date: Aug 2022
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data>Morbidity; Health & Disability>Health care
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From First-Timer to Advocate: Unpacking the SOA Health Meeting Experience
From First-Timer to Advocate: Unpacking the SOA Health Meeting Experience Chris Smith, vice chair of the Actuary of the Future section, had the privilege of attending the SOA Health meeting in ...- Date: Jan 2024
- Competency: Relationship Management
- Publication Name: Actuary of the Future
- Topics: Actuarial Profession>Professional associations; Actuarial Profession>Professional development; Health & Disability
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Enhancing the Value of Critical Illness Insurance
Enhancing the Value of Critical Illness Insurance Critical illness insurance is a popular supplemental health insurance product in the U.S. market. This article discusses how carriers have ...- Authors: Ashlee Borcan
- Date: Feb 2022
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Product Matters!
- Topics: Health & Disability; Health & Disability>Critical illness insurance
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Understanding Health in the Big Picture
Understanding Health in the Big Picture Social determinants of health (SDoH) have been a topic of growing interest in recent years, yet consensus about what the phrase represents and how ...- Authors: Jill Van Den Bos, Stoddard Davenport
- Date: Aug 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health risks
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Telehealth at a Crossroads
Two years ago, before COVID-19 changed everything about how we provide and receive health care, telehealth was largely provided by third-party vendors to treat a narrow range of acute ...- Authors: Kirsten Staveland, Brian Parkinson
- Date: Dec 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability; Public Policy
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Understanding the Medical Stop-Loss Market
Understanding the Medical Stop-Loss Market This article details the medical stop-loss coverages purchased by HMOs, small insurers and providers taking delegated financial risk in payor ...- Authors: Keith Passwater, Peter Robinson, David Nelson
- Date: Jun 2022
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Reinsurance; Health & Disability>Provider risk
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Critical Illness Benefits and Triggers: An Introduction
Critical Illness Benefits and Triggers: An Introduction An overview of key considerations for benefit triggers in critical illness products By Ashlee Borcan, Grigori Lev and Stephen Rook Small ...- Authors: Ashlee Borcan, Stephen Rook
- Date: Dec 2020
- Competency: External Forces & Industry Knowledge
- Publication Name: Small Talk
- Topics: Health & Disability
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Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment”
Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment” ACA risk adjustment is intended to "bridge the gap" between allowed rates and actuarial rates.- Authors: Greg Fann
- Date: Jun 2022
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Health & Disability>Health care