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The ACA Underwriting Cycle
The ACA Underwriting Cycle There are early indications of a six year cycle in ACA markets reminiscent of the traditional underwriting cycle. 10/5/2020 12:00:00 AM ...- Authors: Gregory Fann
- Date: Oct 2020
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability
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How blockchain technology will disrupt the PBM-payer-pharmacy relationship
How blockchain technology will disrupt the PBM-payer-pharmacy relationship This article explores the disruptive applications of blockchain, an emerging technology, and its impact on the pharmacy ...- Authors: Brian Anderson, Michael DiPrima , Greg Callahan
- Date: Apr 2020
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Technology & Applications; Technology & Applications>Blockchain & cryptocurrency
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Quantile Regression - A New Actuarial Approach to Claims Estimation
Quantile Regression - A New Actuarial Approach to Claims Estimation Health claims are not normally distributed. Claims Forecasting can be improved by understanding the entire distribution of ...- Authors: Robert Jason Reed (Jason)
- Date: Apr 2020
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Predictive Analytics; Health & Disability>Claims - Health & Disability; Predictive Analytics>Modeling techniques
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Comparing Model Error Between a Standard Risk Adjustment Model and a Disease-Specific Risk Adjustment Model
Comparing Model Error Between a Standard Risk Adjustment Model and a Disease-Specific Risk Adjustment Model Article discussing how the pursuit of value-based care as a consequence of health care ...- Authors: Andrew Mackenzie, Ian G Duncan
- Date: Dec 2020
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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Health Insurer Balance Sheets 10 Years After ACA
Health Insurer Balance Sheets 10 Years After ACA Health insurance company assets and liabilities have evolved since the Patient Protection and Affordable Care Act (ACA) was signed into law in ...- Authors: Scott O'Neil Jones, Samuel Jay Shellabarger
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Affordable Care Act (ACA)
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Behavioral Economics: Overview and Healthcare Applications
Behavioral Economics: Overview and Healthcare Applications This article provides an overview of behavioral economic theory as it relates to health and welfare insurance plans and provides ...- Authors: Randy P Herman, Tony Pistilli, Brian Plaskow, Jeffrey Chanin
- Date: Aug 2020
- Competency: External Forces & Industry Knowledge; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Economics; Economics>Behavioral economics; Economics>Health economics; Health & Disability; Health & Disability>Health care
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The Big Three of Telehealth
The Big Three of Telehealth Telehealth benefits, obstacles, and delivery systems 2/24/2020 12:00:00 AM ...- Authors: Traci Leigh Hughes
- Date: Feb 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Health & Disability
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Health Care Challenges in Remote Areas: A Good Example
Health Care Challenges in Remote Areas: A Good Example Discusses challenges faced by the people living in the remote town of Brewster, Nebraska. 5/1/2020 12:00:00 AM ...- Authors: Timothy Adams
- Date: May 2020
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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Chairperson Corner
Chairperson Corner Description of the upcoming activities for the Health Section. 2/24/2020 12:00:00 AM ...- Authors: Jacqueline Lee
- Date: Feb 2020
- Competency: Communication; Relationship Management
- Publication Name: Health Watch
- Topics: Actuarial Profession; Health & Disability
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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 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