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Early Findings from the ACA's Medicaid Expansion
Expansion Analysis of data from three Medicaid managed care plans examines enrollment and cost trends for newly ... Retention;Medicaid ;Claim experience;Managed care;Patient Protection and Affordable Care Act 6442484882 10/1/2018 12:00:00 ...- 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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Assessing Prescription Opioid Risk with Predictive Analytics
Assessing Prescription Opioid Risk with Predictive Analytics We highlight a new approach leveraging ... users for more effective screening and follow-up care. Predictive modeling;Health risks;Data mining=Big ...- Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; 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: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
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Letter from the Editor
and their families, all the players in the health care mar- ket because of increased costs, across all ... have gained health care coverage due to Medicaid expansion under the Affordable Care Act (ACA). In the ...- Authors: JoAnn Bogolin
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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The Actuarial Memorandum in Support of the Health Statement
The Actuarial Memorandum in Support of the Health Statement Preparing an effective actuarial ... rebate liability • No documentation of $0 Affordable Care Act (ACA) risk- adjustment amounts • The company ...- Authors: Annette James, Nancy Hubler
- Date: Oct 2018
- Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>General business skills; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance