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New Member Impact on Medicaid Managed Care Costs
New Member Impact on Medicaid Managed Care Costs In this article, the authors explore how the recession has impacted new member enrollment in the various state health care programs and the ...- Authors: Bela H Patel Fernandez, Jeffrey L Smith
- Date: Feb 2010
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data>Morbidity; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
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To Err is Human, To Estimate is Actuarial
To Err is Human, To Estimate is Actuarial Realizing the impact of medical errors on the U.S. health care system, the Health Section commissioned a research project to measure the annual frequency ...- Authors: Steven Siegel
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Academic partnerships; Economics>Health economics; Experience Studies & Data; Modeling & Statistical Methods>Data mining
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Cost and Benefit Trends Observed in Jan. 1, 2011 Renewals for State Employers
Cost and Benefit Trends Observed in Jan. 1, 2011 Renewals for State Employers An analysis of health insurance cost and benefit trends using January 1, 2011 data from state employee medical plan ...- Authors: Robert Gordon Cosway, Barbara Dewey
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Internal forces and business performance; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data; Technology & Applications>Analytics and informatics
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Soundbites from the American Academy of Actuaries’ Health Practice Council
Soundbites from the American Academy of Actuaries’ Health Practice Council Report on the activities of the Academy’s health practice council and its work groups. Consumer-driven health ...- Authors: Heather E Jerbi, Melissa Lawler
- Date: May 2009
- Competency: External Forces & Industry Knowledge; 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; Enterprise Risk Management>Risk measurement - ERM; Experience Studies & Data; Financial Reporting & Accounting; Health & Disability>Health care quality; Long-term Care; Public Policy
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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 and health care costs supports the case for health plans to cover these procedures. Health ...- 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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Navigating New Horizons…Dawn E. Helwig, FSA, MAAA
Navigating New Horizons…Dawn E. Helwig, FSA, MAAA An interview with Dawn Helwig on developments in the Long Term Care market. Assumptions;Funding policy;Home health care;Lapse rates=Lapses;Life ...- Authors: Mary Kindel Van der Heijde
- Date: May 2009
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data>Long-term care - Experience Studies & Data; Long-term Care>Long-term care insurance; Long-term Care>Public financing - Long-term Care
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Palliative Care
Palliative Care This article from major US payers describes palliative care as a scaleable means of improving quality and reducing costs during serious and complex illness. Payment models=Health ...- Authors: Randall Krakauer, Bruce Smith, Diane Meier, Torrie Fields
- Date: Nov 2016
- Competency: Leadership>Change management; Leadership>Influence; Leadership>Mentoring; Leadership>Professional network leverage; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making
- Publication Name: Health Watch
- Topics: Economics>Health economics; Enterprise Risk Management>Systematic risk; Experience Studies & Data>Morbidity; Experience Studies & Data>Mortality; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models