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  • Why so Many People Have Untreated Mental Health Conditions
    Why so Many People Have Untreated Mental Health Conditions The article reviews high-deductible health plans and poor reimbursement for mental health providers as being the root of 3 devastating ...

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    • Authors: Dawn Motovidlak
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models
  • Validating a Novel Health Insurance Fraud Detection Method
    Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for ...

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    • Authors: Robert D Lieberthal, Elias
    • Date: Aug 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Risk Management
    • Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
  • The Role of the Actuary in Self-Insurance Released
    The Role of the Actuary in Self-Insurance Released Announcement that the report of the Self-Insurance Task Force, a Health Section Strategic Initiative, has been released. Employee Retirement ...

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    • Authors: John Mange, Hobson Carroll
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • Up Front with the SOA Staff Fellow
    Up Front with the SOA Staff Fellow Joe Wurzburger, Staff Fellow at the SOA, shares his views and insights about the health care industry in general and the Health Section's role in ...

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    • Authors: Society of Actuaries
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • Health Watch, February 2018, Issue 85
    Health Watch, February 2018, Issue 85 Read the February 2018 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section ...

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    • Authors: Society of Actuaries
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • 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
  • Future of Group Benefits in Canada
    Future of Group Benefits in Canada By Melissa Carruthers A description of the keys to future success in the Canadian group benefits business. Consumer-driven health plans;Group health plans; ...
    • Authors: Melissa Carruthers
    • Date: May 2018
    • Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Management partnership; Strategic Insight and Integration>Strategy development
    • Publication Name: Innovators & Entrepreneurs
    • Topics: Health & Disability>Health insurance
  • CSRs and Market Stabilization: What’s the Real Story?
    CSRs and Market Stabilization: What’s the Real Story? Argues that reinstatement of CSR (cost-sharing reduction) reimbursements by federal government will have destabilizing effect on individual ...

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    • Authors: Dean Ratzlaff
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Medicare Advantage Star Ratings: Expectations for New Organizations This article makes organizations entering the MA market aware of the star rating climate, as well as short- and long-term star ...

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    • Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • Human Nature and the US Health Care System, Part I
    Human Nature and the US Health Care System, Part I The third in a series of four articles that illustrate the “soft” approach of game theory using Thucydides’ master work, The History of the ...
    • Authors: Carlos Eduardo Fuentes
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>General business skills; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Innovators & Entrepreneurs
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
  • Up Front with the SOA Staff Fellow
    Up Front with the SOA Staff Fellow Joe Wurzburger, Staff Fellow at the SOA, shares his views and insights about the health care industry in general and the Health Section's role in ...

    View Description

    • Authors: Society of Actuaries
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance