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Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal ... accountable care organizations. Capitations would be risk-adjusted, non-capitated costs would be covered ...- Authors: Mark Florian
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance
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Premiums in Regional Health Alliances Under the Clinton Administration's Proposed Health Security Act
Health Alliances Under the Clinton Administration's Proposed Health Security Act This actuarial memorandum ... represents the first, formal actuarial opinion regarding the reasonableness of the premium estimates the Clinton ...- Authors: P Anthony Hammond
- Date: Jan 1995
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations
- Publication Name: Actuarial Research Clearing House
- Topics: Economics>Health economics; Public Policy; Public Policy
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The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death!
The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death! A ... A proposal to reform the health care provider payment system through: a national fee schedule, shifting ...- Authors: John Dante
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Public Policy
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The Impact of Family Structure on Spare Capacity and Health Care Utilization
The Impact of Family Structure on Spare Capacity and Health Care Utilization This article is based on ... and explores the relationships between family structure, spare capacity and health care utilization.- Authors: Philip Castevens
- Date: Jan 2014
- Competency: Results-Oriented Solutions>Actionable recommendations
- Publication Name: Health Watch
- Topics: Public Policy; Public Policy
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Recommendations for a Successful ACA Rate Filing
Recommendations for a Successful ACA Rate Filing Summary of common mistakes made by actuaries developing ACA ... Suggests Peer Review process. Health insurance;Affordable Care Act;Rate regulation 6442471998 11/1/2016 12:00:00 ...- Authors: Joseph Slater
- Date: Nov 2016
- Competency: Communication>Difficult message delivery; Communication>Oral communication; Communication>Persuasive communication; Communication>Written communication; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Health & Disability>Health insurance; Public Policy
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The Age Wave, the Ocean State, and Long-Term Care
The Age Wave, the Ocean State, and Long-Term Care Rhode Island’s unique “global Medicaid waiver” pursues ... potentially dangerous national policy trend: long-term care LTC rebalancing without strong eligibility controls ...- Authors: Stephen Moses
- Date: Dec 2009
- Competency: Communication>Persuasive communication; Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations
- Publication Name: Long-Term Care News
- Topics: Long-term Care>Medical expenses; Long-term Care>Public financing - Long-term Care; Long-term Care>Long-term care facilities & home care; Public Policy; Social Insurance>Medicaid
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Prioritization of Health Services
Prioritization of Health Services This session is about the details of the inception and implementation of the ... Record of Society of Actuaries Vol. 18, No. 1B. Government-funded healthcare;Health care costs;Health ...- Authors: Paul R Fleischacker, Harvey Klevit
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy; Social Insurance>Medicaid
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Managing Health Care
Managing Health Care Panel discussion of prospects for cost containment of, and alternatives to, fee-for-service ... fee-for-service health care, and management of health care under national health insurance. Discussion ...- Authors: Philip Briggs, Gordon R Trapnell, John G Turner, Robert C. Ochsner, Merle H Glick
- Date: Jun 1977
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Public Policy; Public Policy; Reinsurance>Stop-loss insurance
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Navigating Cost-Sharing Reduction Subsidy Defunding
Navigating Cost-Sharing Reduction Subsidy Defunding This paper will examine why CSR defunding ... price 2020 premiums. Patient Protection and Affordable Care Act, Rate regulation, Individual health plans ...- Authors: Michael Cohen, Peter van Laarhoven
- Date: Mar 2019
- Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy
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The Alternative to the Medical Scheme Model for Africa
The Alternative to the Medical Scheme Model for Africa The medical scheme approach adopted by several ... several African countries has failed to meet the needs of those in informal employment and rural communities ...- Authors: Kudzai Chigiji
- Date: Jan 2016
- Competency: Communication>Persuasive communication; Leadership>Influence; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: International News
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy