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The State of Predictive Analytics in U.S. Health care
mgmt 9% Info mgmt 10% Operations mgmt 17% Case mgmt 17% Finance mgmt 20% Medical clinics/Groups ... mgmt 9% Info mgmt 10% Operations mgmt 17% Case mgmt 17% Finance mgmt 20% Medical clinics/Groups ...- Authors: Marilyn Medved McGaffin
- Date: Nov 2016
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Predictive Analytics
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Medicare Advantage Star Ratings: Expectations for New Organizations
comparison of 2018 and 2017 star rating data: • 17% of contracts are considered a “New Contract” in ... 2018 Overall Star Rating Distribution New Contract 17% Low Enrollment 7% 5 Stars 3% 4.5 Stars 11% 4 ...- Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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Soundbites from the American Academy of Actuaries' Health Practice Council Activities
Soundbites | froM page 15 Health Watch | May 2012 | 17 Ongoing Activities The Academy’s Health Practice ... pdate_to_HAtF_111102.pdf Soundbites | froM page 17 Supplement Refund Formula to the NAIC’s Medicare ...- Authors: Heather E Jerbi, Tim M Mahony
- Date: May 2012
- Competency: Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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Health Watch, February 2018, Issue 85
FPL 24% 150–200% FPL 17% 200–250% FPL 3% FEBRUARY 2018 HEALTH WATCH | 17 Nineteen State Attorneys ... reimbursements; spread evenly across all plans. 17 Silver Load Insurers load premiums to cover loss ...- 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
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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
Service The 2012 Part D summary rating consists of 17 individual measures for a Medicare Advantage Prescription ... Prescription Drug (MAPD) plan and the same 17 measures for a PDP, which are categorized into four separate ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Why so Many People Have Untreated Mental Health Conditions
health issues.” I am not talking about only the one in 17 Americans who lives with a diagnosed serious mental ... mental health issue. JUNE 2018 HEALTH WATCH | 17 • Mental illness is associated with an increased ...- Authors: Dawn Motovidlak
- Date: Jun 2018
- Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- 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>Health risks; Health & Disability>Payment models
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Health Watch, October 2018, Issue 87
Society of Actuaries (SOA) 2018_caa_ad.indd 1 11/2/17 10:54 AM 16 | OCTOBER 2018 HEALTH WATCH Medicare ... findings include: OCTOBER 2018 HEALTH WATCH | 17 • The average number of HCCs varies meaningfully ...- Authors: Society of Actuaries
- Date: Oct 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
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Health Watch, June 2018, Issue 86
first began, it was Initiative 17|10, representing the fact that 17 percent of the U.S. gross domestic ... Profession SAVE THE DATE NASHVILLE, TENNESSEE OCT. 14–17, 2018 C M Y CM MY CY CMY K 16 | JUNE 2018 ...- Authors: Society of Actuaries
- Date: Jun 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>Payment models; Health & Disability>Public financing - Health & Disability
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Bariatric Surgery Holds Promise for Patients and for Payors
Bariatric Surgery Holds Promise for Patients and for Payors An economic analysis of bariatric surgery ... prior to surgery and afterwards for an average of 17 months for the bariatric group and 18 months for ...- Authors: John Dawson, Pierre-Yves Cremieux, Arindam Ghosh
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining
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Health Watch, November 2016, Issue 81
health actuaries. This year’s event was held June 15–17 at the Marriott Downtown in Philadelphia. The meeting ... security system.”12 NOVEMBER 2016 HEALTH WATCH | 17 Warnings and implications of adverse selection are ...- Authors: Society of Actuaries
- Date: Nov 2016
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Public Policy; Public Policy