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Commercial Health Care: What’s Next?
Commercial Health Care: What’s Next? This article contains a condensed summary and excerpt from the fourth white paper in the Commercial Health Care: What’s Next? series. health care reform;risk ...- Authors: David Dillon
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
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Letter from the Editor
Letter from the Editor A letter from me introducing this issue. Health insurance;health reserves;Medicare 6442484877 10/1/2018 12:00:00 AM ...- Authors: JoAnn Bogolin
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Self-Insurance Strategic Initiative Report
Self-Insurance Strategic Initiative Report This monograph explains the ways actuaries are or could be involved in the self-insured employer health plan marketplace today and in the future. Health ...- Authors: Society of Actuaries, John Mange, Kristi Bohn, Hobson Carroll, Michael A Kemp, Mehboob Khoja, David E Olsho, Shaun Peterson, Nicholas Sarneso, Brent Seiler, Joseph Slater, Dustin Tindall, David Wilson, Gregory J Sullivan
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Results-Oriented Solutions>Actionable recommendations
- Topics: Health & Disability>Health insurance
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Predicting High-Cost Members in the HCCI Database
Predicting High-Cost Members in the HCCI Database Using the Health Care Cost Institute (HCCI) database, we examined which characteristics best predict and describe high-cost members. September ...- Authors: Brian Hartman
- Date: Sep 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Topics: Health & Disability>Health risks
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Assessing Prescription Opioid Risk with Predictive Analytics
Assessing Prescription Opioid Risk with Predictive Analytics We highlight a new approach leveraging predictive analytics to identify high risk and rising risk opioid users for more effective ...- Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; 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: Health Watch
- Topics: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
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The Actuarial Memorandum in Support of the Health Statement
The Actuarial Memorandum in Support of the Health Statement Preparing an effective actuarial memorandum in support of the health actuarial opinion. Actuarial Opinion and Memorandum = ...- Authors: Annette James, Nancy Hubler
- Date: Oct 2018
- Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>General business skills; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance
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Predicting High-Cost Members in the HCCI Database
Predicting High-Cost Members in the HCCI Database Using the Health Care Cost Institute (HCCI) database, we examined which characteristics best predict and describe high-cost members. 6442484309 ...- Authors: Brian Hartman
- Date: Sep 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Topics: Health & Disability>Health risks
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Reducing Medical Cost Trend With Concierge Services and Enhanced Digital Tools
Reducing Medical Cost Trend With Concierge Services and Enhanced Digital Tools Collective Health plan sponsors found that concierge services and enhanced digital tools produced lower trend by ...- Authors: Edward Cymerys
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health information technology