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Provide Peace of Mind for Your Family
Provide Peace of Mind for Your Family Why and how to set up an advance directive, in case a health event renders you unable to make your own medical to decisions. 9999 9/1/2008 12:00:00 AM ...- Authors: Patricia Bomba
- Date: Sep 2008
- Competency: Communication>Written communication; Relationship Management>Relationships and trust; Strategic Insight and Integration>Effective decision-making
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Health care
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Implications of Individual Subsidies in the Affordable Care Act—What Stakeholders Need to Understand
Implications of Individual Subsidies in the Affordable Care Act—What Stakeholders Need to Understand This article provides a detailed description of the unbalanced subsidy provisions in the ...- Authors: Gregory Fann
- Date: May 2014
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability
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Defining Best-In-Market Health Opportunities
Defining Best-In-Market Health Opportunities Panelists discuss employers' perspective of defining strategies to identify best-in-market opportunities. From the Record of the Society of ...- Authors: Dale Yamamoto, Mindy S Kairey
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; 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: Risk Management
- Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
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The Bragg Smoker And Non-Smoker Mortality Tables And Health Insurance Report
The Bragg Smoker And Non-Smoker Mortality Tables And Health Insurance Report This article discusses the history of the Sun Life of Canada inserting a question about smoking in their life ...- Authors: W Allan Keltie
- Date: Oct 1983
- Competency: Strategic Insight and Integration>Effective decision-making
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health risks
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Implementing Parity: Investing in Behavioral Health – Part 2
Implementing Parity: Investing in Behavioral Health – Part 2 Part 1 of a 2-part series exploring implementation issues for the Mental Health Parity and Addiction Equity Act of 2008 MHPAEA. Part ...- Authors: Stephen P Melek
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Public Policy
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Future of Group Benefits in Canada
Future of Group Benefits in Canada By Melissa Carruthers A description of the keys to future success in the Canadian group benefits business. Consumer-driven health plans;Group health plans; ...- Authors: Melissa Carruthers
- Date: May 2018
- Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Management partnership; Strategic Insight and Integration>Strategy development
- Publication Name: Innovators & Entrepreneurs
- Topics: Health & Disability>Health insurance
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Design and Pricing of Tiered Network Health Plans
Design and Pricing of Tiered Network Health Plans This article discusses the advantages, logistical concerns, and pricing formulas of implementing a TNHP, in which members pay less for treatment ...- Authors: Peter Horman
- Date: May 2009
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Modeling & Statistical Methods
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An Interview: Dr. Uwe Reinhardt
An Interview: Dr. Uwe Reinhardt In this interview Dr. Reinhardt shares his thoughts on the role he believes actuaries should take in the health care system reforms. Assumptions;Episode-based ...- Authors: Mary Kindel Van der Heijde, Douglas Norris
- Date: Sep 2009
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Actuarial Profession>Traditional careers; Enterprise Risk Management; Health & Disability>Health risks; Health & Disability>Payment models
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Behind Clinical Integration
Behind Clinical Integration Recent health care reform activity has highlighted the importance of Clinical Integration in improving the quality, safety, efficiency and reimbursement infrastructure ...- Authors: Steven Tutewohl
- Date: May 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Health & Disability>Health information technology; Public Policy; Technology & Applications>Data warehousing; Health & Disability>Electronic medical record