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Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
Quality This article describes the results of three years of work by Blue Shield of California to collaborate ... populations in targeted geographies. Accountable care organizations = ACO;Guaranteed minimum withdrawal ...- Authors: Edward Cymerys
- Date: May 2013
- Competency: Relationship Management>Relationships and trust; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Payment models
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Leader Interview
Leader Interview This article is an interview with Paul Stordahl on his role in the actuarial ... with Paul Stordahl on his role in the actuarial profession. Health care;Health Insurance 6442483887 6/1/2018 ...- Authors: Paul E Stordahl
- Date: Jun 2018
- Competency: Leadership>Mentoring; Leadership>Thought leadership; Professional Values>Practice expertise; Relationship Management>Relationships and trust
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Effective Contracting with Pharmacy Benefit Managers: Protecting a plan sponsor’s resources
Protecting a plan sponsor’s resources A discussion of issues to consider in selecting and contracting with ... Audits;Payment models=Health care payment models;Prescription drug costs;Fiduciary; 9522 2/1/2010 12:00:00 ...- Authors: Robert Gordon Cosway, Brian Anderson
- Date: Feb 2010
- Competency: Communication; Relationship Management>Relationships and trust
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality
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Health Actuaries and the Short-term Prediction Problem
Health Actuaries and the Short-term Prediction Problem This article discusses challenges that short-term ...- Date: May 2012
- Competency: Communication>Oral communication; Communication>Written communication; External Forces & Industry Knowledge>General business skills; Leadership>Influence; Professional Values>Practice expertise; Relationship Management>Relationships and trust; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Management partnership
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing
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How to Survive and Maybe Even Benefit from Medicare Advantage and Prescription Drug Bid Reviews and Audits
By Michael Cook It is the middle of June, and you are slowly recovering from the long nights and weekends ... from a bid reviewer working for the Office of the Actuary (OACT) at the Centers for Medicare & Medicaid ...- Authors: Michael Cook
- Date: May 2011
- Competency: Communication; Professional Values; Relationship Management>Relationships and trust
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Social Insurance>Medicare
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Navigating New Horizons . . . An Interview with Dave Axene
Navigating New Horizons . . . An Interview with Dave Axene An actuary talks about his ... between actuaries and health care professionals, and his role in the role in the largest actuarial malpractice ...- Authors: Sarah Lawrence
- Date: Sep 2010
- Competency: Communication; Professional Values>Practice expertise; Professional Values>Public interest representation; Relationship Management>Relationships and trust
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Best practices; Public Policy