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  • The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death!
    The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death! A ... A proposal to reform the health care provider payment system through: a national fee schedule, shifting ...

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    • Authors: John Dante
    • Date: Sep 2010
    • Competency: Leadership>Thought 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; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Public Policy
  • Palliative Care
    Palliative Care This article from major US payers describes palliative care as a scaleable means of ... Payment models=Health care payment models;Health care costs;Managed care;Home health care 6442471996 11/1/2016 ...

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    • 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
  • 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 ...

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    • 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
  • Providers: Reorganize and Refinance
    Providers: Reorganize and Refinance A rethinking of current provider reimbursement, focusing ... episodes of care. Accountable care organizations= ACO;Episode-based payment;Payment reforms=Health care payment ...

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    • Authors: Jill Van Den Bos
    • Date: Sep 2010
    • Competency: Leadership>Thought leadership; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy
  • Taking Our Own Medicine Through Onsite Health
    Taking Our Own Medicine Through Onsite Health This article talks about the new onsite clinic ... and employers. Health care costs;Health economics;Medical expenses;Preventive care;Wellness; 9503 5/1/2009 ...

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    • Authors: Michael Clarke, Tom Sondergeld
    • Date: May 2009
    • Competency: Leadership>Thought leadership; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality
  • Letter from the Editors
    Editors The editors of Health Watch have made health care reform the focus of the Sepctember 2009 issue, and ... introduction to the issue's contents. Health care reform;Health information exchanges;Health policy; ...

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    • Authors: Grady Catterall, Mary Kindel Van der Heijde
    • Date: Sep 2009
    • Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Social Insurance>Medicare
  • Getting Actuaries More Engaged in Population Health
    determinants of health personal behaviors, medical care and the public health infrastructure, as well as ... to maximize the health of populations. Health care costs;Health factors;Policyholder behavior; 25718 ...

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    • Authors: Robert D Lieberthal
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Alternative careers; Economics>Health economics; Health & Disability>Health care quality; Public Policy; Technology & Applications>Analytics and informatics
  • Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea?
    Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea? An overview of ... are;Payment models=Health care payment models;Payment reforms=Health care payment reforms; 9556 9/1/2010 ...

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    • Authors: Todd Lueders
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Public Policy
  • Effective Contracting with Pharmacy Benefit Managers: Protecting a plan sponsor’s resources
    Effective Contracting with Pharmacy Benefit Managers: Protecting a plan sponsor’s resources ... contracting with a PBM. Audits;Payment models=Health care payment models;Prescription drug costs;Fiduciary; ...

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    • Authors: Robert Gordon Cosway, Brian Anderson
    • Date: Feb 2010
    • Competency: Communication; Relationship Management>Relationships and trust
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality
  • Design and Pricing of Tiered Network Health Plans
    Design and Pricing of Tiered Network Health Plans This article discusses the advantages, logistical ... quality and cost-effectiveness standards. Accountable care organizations= ACO;Assumptions;Behavioral econo ...

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    • Authors: Peter Horman
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Modeling & Statistical Methods