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2023-optimal-care-manage
Renal disease is a very heterogenous medical condition whose end state is dialysis, ... medical cost drivers in USA. Insufficient and improper care management in the early stages of CKD (chronic kidney ...- Date: Apr 2024
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Experience Studies & Data; Modeling & Statistical Methods; Predictive Analytics
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Health Care Cost Trends Request for Proposals - Risk Adjustment
Health Care Cost Trends Request for Proposals - Risk Adjustment Risk Adjustment continues to be a hot ... insurance, medical expenses, payment reforms, health care payment reforms, chronic illness management Background ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Health Care Cost Trends Request for Proposals – Behavioral Health
Health Care Cost Trends Request for Proposals – Behavioral Health The Society of Actuaries (“SOA”) Research ... mental health care, major medical insurance, disease management, medical expenses, managed care Background ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Better Care Through Understanding the Customer Not Just the Patient
As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical ... information is captured while patients are in health care facilities. Yet most people spend only a small fraction ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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The Next Horizon of Value-based Care: An Opportunity for Actuaries to Become Pioneers in Health Care
Horizon of Value-based Care: An Opportunity for Actuaries to Become Pioneers in Health Care The momentum in ... value-based care has produced an opportunity for actuaries to become pioneers in health care VBC, Value-based ...- Authors: Yuxiao Zhao
- Date: Aug 2023
- Competency: External Forces & Industry Knowledge; Leadership; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: Actuarial Profession; Actuarial Profession>Alternative careers; Health & Disability; Health & Disability>Health care
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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 ... 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
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Health Care Cost Trends Request for Proposals – Recent Changes in Medical Service Composition and Trends
Health Care Cost Trends Request for Proposals – Recent Changes in Medical Service Composition and Trends ... effectively identify, predict and manage risks. Managed care, major medical insurance, medical expenses, prescription ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Health Care Cost Trends Request for Proposals – Changes in Medical Trend Due to Provider Disruption
Health Care Cost Trends Request for Proposals – Changes in Medical Trend Due to Provider Disruption ... pandemic helped accelerate many changes in the Health Care system that were already taking place. The major ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Opportunities for Bundling Medicare Supplement and Short-Term Care: The Perfect Match?
Short-Term Care: The Perfect Match? This article describes Medicare Supplement and short-term care products ... as short- and long-term care (STC, LTC) provide coverage for custodial care needs towards the end of ...- Authors: Kenneth J Clark, Robert T Eaton
- Date: Mar 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Rates - Health & Disability; Long-term Care>Long-term care pricing; Long-term Care>Rates - Long-term Care; Long-term Care>Termination - Long-term Care
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Market Readiness of Long-Term Care Products in Asia-Pacific Markets
Market Readiness of Long-Term Care Products in Asia-Pacific Markets The summary and introduction of ... considering entering the market of commercial long-term care insurance (LTCI) in the Asia-Pacific, based on individual ...- Authors: Lanqi Cheng, Xinran Luo, Yingqi Zhang
- Date: Apr 2024
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Long-Term Care News
- Topics: Long-term Care