Description: Everyone loves efficiency. But what does it truly mean for something to be efficient? An actuary who has spent almost 20 years managing process improvements shares his experiences and the evolution of his views on efficiency. This parable highlights the broader aspects of efficiency that are often missed, and some of the challenges that can come from targeting a typical view of efficiency.

Description: Medicare Advantage Organizations must consider influences both internal and external to the adjudication process as they review and use data for bid preparation