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Health Watch
Health Watch Read the November 14 2019 issue of Health Watch, published by the Health Section. ... section activities. Health care costs Health care quality Health care reform Health information exchanges ...- Authors: Society of Actuaries
- Date: Nov 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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October issue of Health Watch
SECTION New CMS Guidance for Medicaid Managed Care Medical Loss Ratio Calculations By Paul Houchens ... com/insight/2019/New-CMS-guidance-for- Medicaid-managed-care-medical-loss-ratio-calculations/. Copy- right © ...- Authors: Society of Actuaries
- Date: Nov 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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A Non-Traditional Actuarial Role
A Non-Traditional Actuarial Role Profile of an actuary in a non-traditional actuarial role: focusing on medical ... retrospective and prospective. Assumptions;Health care costs; 9547 5/1/2010 12:00:00 AM ...- Authors: Carolyn Young
- Date: May 2010
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Health & Disability>Health information technology; Modeling & Statistical Methods>Forecasting; Technology & Applications>Analytics and informatics
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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 ...- 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
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June 2019 issue of Health Watch
The Role of Blockchain Technology in Our Health Care Delivery System By Rajesh Munjuluri and Puneet Budhiraja ... opens with two articles regarding the Affordable Care Act (ACA). The piece from Kristi Bohn covers the ...- Authors: Society of Actuaries
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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Underwriting Gain in Managed Medicaid: Starting the Conversation
Underwriting Gain in Managed Medicaid: Starting the Conversation According to the Actuarial ... 49 (ASOP 49), actuarially sound Medicaid managed care capitation rates will include a provision for underwriting ...- Authors: Jaredd Martin Keith Simons, James Randolph Piekut
- Date: Nov 2019
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Scenario generation; Modeling & Statistical Methods>Simulation
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Leader Interview with David Axene
and the practice of medicine to improve the health care industry. He is internationally recognized as a ... types of health care organiza- tions. He is a frequent speaker and writer on health care issues. He previously ...- Authors: David Axene, Rick S Pawelski
- Date: Dec 2019
- Competency: Communication; External Forces & Industry Knowledge; Leadership; Professional Values; Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Actuarial Profession; Health & Disability
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What does ERM mean for Health Practitioners?
Why Care About Enterprise Risk Management? I n late 2008, the health insurance industry faced a number ... Garnett 10 New Member Impact on Medicaid Managed Care Costs By Bela Patel Fernandez and Jeff Smith ...- Authors: Max Rudolph
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Relationship Management>Staff management and motivation; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Enterprise Risk Management; Modeling & Statistical Methods>Forecasting
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At the Intersection of Risk Adjustment and Social Determinants of Health
plans to reflect the expected costs of providing care to their members. Because of dif- ferences in health ... SDH IMPACT HEALTH CARE COSTS? SDH have an important influence on health, health care out- comes and spending ...- Authors: Sudha Shenoy, Gail Stone
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid
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Is Your Integrated Delivery System Throwing Away Free Money?
of both the delivery and the insur-ing of health care should be powerful. That is the theory behind an ... explain why. Optimizing value in an integrated health care delivery system requires aligning the financial ...- Authors: Karan Rustagi
- Date: Feb 2018
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development; Health & Disability>Payment models; Social Insurance>Medicare