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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 ...- 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
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Letter from the Editor
Letter from the Editor Thank you to the contributors and those who helped. Brief description of the articles in the issue. Major medical insurance;Rate regulation 6442471994 11/1/2016 12:00:00 AM ...- Authors: Marilyn Medved McGaffin
- Date: Nov 2016
- Competency: Communication>Written communication; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice
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Why so Many People Have Untreated Mental Health Conditions
Why so Many People Have Untreated Mental Health Conditions The article reviews high-deductible health plans and poor reimbursement for mental health providers as being the root of 3 devastating ...- 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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Reaching Out for New Opportunities—New Market Research About Actuaries in the Health Care Industry
Reaching Out for New Opportunities—New Market Research About Actuaries in the Health Care Industry Key findings from a market research study which the SOA undertook as part of their strategic ...- Authors: Sara Teppema
- Date: May 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Professional network leverage; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Qualifications
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Medicare Advantage risk scores – Are you competitive?
Medicare Advantage risk scores – Are you competitive? What you need to know about risk scores to be competitive in the Medicare Advantage market. Medicare;Risk adjustment;Health insurance;Return ...- Authors: Corey Berger
- Date: Oct 2018
- Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
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Early Findings from the ACA's Medicaid Expansion
Early Findings from the ACA's Medicaid Expansion Analysis of data from three Medicaid managed care plans examines enrollment and cost trends for newly eligible enrollees under the ...- Authors: Richard Marko, Sabrina Gibson, Joshua Kuai, Mitchell Cole
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicaid
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Is there currently an underwriting cycle?
Is there currently an underwriting cycle? An analysis of the 1999-2011 experience of all Blues plans of betweeen $1.8 and $3.8 billion in annual revenue in 2010 to determine if there is any ...- Authors: Mark Shaw
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Systematic risk; Health & Disability>Health insurance
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Consumers to the Rescue? A Primer on HDHPs and HSAs
Consumers to the Rescue? A Primer on HDHPs and HSAs This article examines the history, theory, and effectiveness of high-deductible health plans and health savings accounts. Consumer driven ...- Authors: Fritz Busch, Barbara Collier, Jason Karcher , Steven Phillips
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
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North of the Border with the S.O.eh?
North of the Border with the S.O.eh? A review of the 2009 Health Spring Meeting, which included speakers & sessions on the future of the SOA, U.S. health care reform, claims data issues ...- Authors: Douglas Norris
- Date: Sep 2009
- Competency: Communication>Difficult message delivery; External Forces & Industry Knowledge; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Economics>Health economics; Public Policy
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Health Watch, Issue 79, December 2015, Health Watch
Health Watch, Issue 79, December 2015, Health Watch Health Watch, Issue 79, December 2015, Health Watch Critical illness insurance;Ethics;Health reserves;Health Research;Cause-of-death mortality; ...- Authors: Society of Actuaries
- Date: Dec 2015
- Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Professional Values>Ethical standards; Relationship Management>Team leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; 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: Health Watch
- Topics: Experience Studies & Data>Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science