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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
  • Health Care Financing Systems Around the World
    Health Care Financing Systems Around the World Presenter describes many of the desirable characteristics ... characteristics of a health care financing system, and alternative health care financing systems as they are found ...

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    • Authors: Chiu-Cheng Chang
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Global Perspectives; Health & Disability>Health care; Health & Disability>Payment models; Public Policy
  • 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
  • Health Care 2.0—Massive Implications of System Transformation
    Health Care 2.0—Massive Implications of System Transformation The healthcare industry is in the middle ... Payment models=Health care payment models;Health care reform;Accountable care organizations= ACO;Health ...

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    • Authors: Greger J Vigen
    • Date: May 2013
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Payment models; Public Policy
  • 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 ...

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    • 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
  • An Actuarial Model to Improve Health and Reduce Costs
    disease and reduce health care costs Health care costs;Health care reform;Health care quality;Chronic illness ... models=Health care payment models;Payment reforms=Health care payment reforms;Preventative care;Wellness ...

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    • Authors: Ken Beckman
    • Date: Oct 2017
    • Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
    • 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>Payment models; Public Policy
  • Abstracts of Health Articles from the North American Actuarial Journal
    on health care reform and efficiency is published in a recent issue of the NAAJ. Health care costs;Health ... costs;Health care quality;Health care reform;Health economics 6442459385 1/1/2015 12:00:00 AM ...

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    • Authors: Ian G Duncan
    • Date: Jan 2015
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy
  • Chairperson's Corner
    Chairperson's Corner This article includes a summary of 2012 Health section ... Accountable care organizations=ACO; Patient Protection and Affordable Care Act= PPACA=Affordable Care Act 4294991589 ...

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    • Authors: Kevin Law
    • Date: May 2012
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Public Policy; Public Policy
  • 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 ...

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    • 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
  • 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 ...

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    • 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