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Commercial Health Care: What’s Next?
Commercial Health Care: What’s Next? This article contains excerpts from the first three articles that ... initiative - Commercial Health Care: What’s Next? health policy;Health care reform;gender factors;health ...- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions; 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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Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal ... payment issues by gradually moving to accountable care organizations. Capitations would be risk-adjusted ...- Authors: Mark Florian
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance
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Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model As ... providers are considering accountable and value based care models, it is critical to strategically think through ...- Authors: Mark Bethke, James M Whisler, Amanda Holland
- Date: May 2013
- Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy
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Considerations for Surplus Determination under ACA
Considerations for Surplus Determination under ACA Discussion of the impact of the ACA on RBS and ... Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform 6442454842 5/1/2014 ...- Authors: Daniel Pribe, Richard Tash, David M Tuomala
- Date: May 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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An Interview: Shannon Brownlee
An Interview: Shannon Brownlee Shannon Brownlee shares her perspectives on the current ... Brownlee shares her perspectives on the current health care crisis, including: inconsistent treatment patterns ...- Authors: Mary Kindel Van der Heijde, Douglas Norris
- Date: Sep 2009
- Competency: Professional Values>Public interest representation; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Public Policy; Public Policy
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Section 1332 Waivers: Coming Soon to a State Near You?
requirements of the Patient Protection and Affordable Care Act. The article focuses on specific opportunities ... Patient Protection and Affordable Care Act= PPACA=Affordable Care Act ;Individual health plans ;Group ...- Authors: Gregory Fann
- Date: May 2016
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy
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Health Enables Wealth
mental health treatment provides increased access to care while reducing overall health costs. Private and ... policy;health policy;health insurance;health care reform;mental health care 6442468667 5/1/2016 12:00:00 AM ...- Authors: Rich Gengler, Irving Steel, Stevan Hobfoll
- Date: May 2016
- Competency: Leadership>Thought leadership; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health information technology; Health & Disability>Health insurance; Public Policy; Public Policy
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Transparency Leads Actuarial Survey of Trend-Benders
Transparency Leads Actuarial Survey of Trend-Benders Summary of results of a 2010 ... expenses;Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Risk metrics; 9566 9/1/2010 12:00:00 ...- Authors: Sara Teppema
- Date: Sep 2010
- Competency: Communication; Leadership>Professional network leverage; Leadership>Thought leadership; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Public Policy; Public Policy
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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries Explanation ... Financial planning; Health care reform; Health insurance; Health policy; Managed care; 4294991587 5/1/2012 ...- 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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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article ... individual market exchanges included in the Affordable Care Act. PDP carrier actions to date could help predict ...- Authors: Shelly Brandel
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare