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Announcement: SOA releases passing candidate numbers for February 2020 Exam GIINT.

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  • 073 - Employer to Provider Direct Contracting - What's The Big Deal?
    073 - Employer to Provider Direct Contracting - What's The Big Deal? This session will provide information ... provider direct contracting. We will discuss the number and types of the most prevalent direct contracts ...

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    • Authors: Kevin Dotson, Robert Joseph Nation, James Patrick Hazelrigs
    • Date: Jul 2019
    • Competency: Strategic Insight and Integration
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models
  • Session 008: Best Practices in Risk-Based Contracts
    Session 008: Best Practices in Risk-Based Contracts More and more providers are desiring risk-based ... contracts. Managed Care; Health care costs; ACO; value-based insurance design; Health care payment models ...

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    • Authors: Traci Leigh Hughes, Daniel Santmyer, Joseph Dean Heintzelman , Michael Goran, Jennifer Leazzo
    • Date: May 2019
    • Competency: Strategic Insight and Integration
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Possible Future of U.S. Healthcare
    difference between a Single-Payer and Universal Health Care System, and how could the U.S. implement a system ... quality. Medicare for All, Payment reforms=Health care payment reforms 11/22/2019 12:00:00 AM ...

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    • Authors: Roy Goldman
    • Date: Nov 2019
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
  • Session 125: Pathways to Success: How the MSSP Final Rule has Re-vamped the Program
    Services (CMS) released the final rule for Accountable Care Organizations (ACOs) in the Medicare Shared Savings ... risk in the coming years. Medicare; Accountable Care Organizations; Health Insurance Medicare Shared ...

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    • Authors: Noah Champagne, Richard A. Lassow
    • Date: May 2019
    • Competency: Strategic Insight and Integration
    • Topics: Health & Disability>Health insurance; Public Policy
  • 112 - Variation in Provider Reimbursement Levels
    closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... Variation in Total Claims Costs  Total Cost of Care is driven by three factors  Utilization – for example ...

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    • Authors: Charles Mills
    • Date: Jul 2019
    • Competency: Strategic Insight and Integration
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Session 045: Operational Risk Management for Health Insurance
    closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... insurers, Blue Cross and Blue Shield plans, managed care organizations, regulators, and government agencies ...

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    • Authors: Marc Lambright, Edward M Mailander, Rebecca B Scotchie
    • Date: May 2019
    • Competency: Strategic Insight and Integration
    • Topics: Enterprise Risk Management>Operational risks; Health & Disability>Health insurance
  • Session 059: ACA Risk Adjustment Data Validation – It Matters! Learning from Year 1 and Beyond
    Session 059: ACA Risk Adjustment Data Validation – It Matters! Learning from Year ... closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ...

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    • Authors: Karena Weikel, Chia Yi Chin, Matthew Sauter, Alexander Mark Vojta
    • Date: Jul 2019
    • Competency: Strategic Insight and Integration
    • Topics: Health & Disability>Health insurance