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  • Massachusetts Payment Reform from an Actuarial Perspective
    Massachusetts Payment Reform from an Actuarial Perspective The article is a case study of various actuarial concepts invovled in the design and implementtion of the AQC - a global budget provider ...

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    • Authors: Matthew Day, Jill Wilson
    • Date: May 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Public Policy
  • An Actuarial Model to Improve Health and Reduce Costs
    An Actuarial Model to Improve Health and Reduce Costs An actuarial model that provides financial incentives to providers to offer patients an approach that can reverse chronic disease and reduce ...

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    • Authors: Ken Beckman
    • Date: Oct 2017
    • Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
  • Health Watch, June 2017, Issue 83
    Health Watch, June 2017, Issue 83 Read the June 2017 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.

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    • Authors: Society of Actuaries
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Health Watch, March 2017, Issue 82
    Health Watch, March 2017, Issue 82 Read the March 2017 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.

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    • Authors: Society of Actuaries
    • Date: Mar 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Health Watch, February 2018, Issue 85
    Health Watch, February 2018, Issue 85 Read the February 2018 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section ...

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    • Authors: Society of Actuaries
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
    Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality This article describes the results of three years of work by Blue Shield ...

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    • 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
  • Using Predictive Modeling to Risk-Adjust Primary Care Panel
    Using Predictive Modeling to Risk-Adjust Primary Care Panel This article discusses techniques used to create risk scores to help determine appropriate primary care panel sizes for a provider ...

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    • Authors: Anders Larson
    • Date: Jun 2017
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Health & Disability>Payment models; Predictive Analytics
  • New Report on Evaluating Payment Models for High-Cost Curative Therapies
    New Report on Evaluating Payment Models for High-Cost Curative Therapies This short article presents the latest SOA health research report on alternative payment models for high-cost curative ...

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    • Authors: Didier Serre
    • Date: Mar 2019
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models
  • Direct Primary Care: Good for What Ails Us
    Direct Primary Care: Good for What Ails Us Discussion of direct primary care and how it helps with several challenges in health care today. DPC improves care coordination, improves outcomes, ...

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    • Authors: Gayle Brekke
    • Date: May 2016
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health insurance; Health & Disability>Payment models
  • Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative
    Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative This interview article summarizes the work being done by a Health Section Strategic Initiative ...

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    • Authors: Gregory Fann
    • Date: Feb 2018
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models