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Our Value-Based Cup Runneth Over
Our Value-Based Cup Runneth Over Discussion of how to mature value-based contracts between health insurers and provider organizations to improve population health and financial sustainability.- Authors: Daniel Reck (Dan), Lisa Swan, Sam Johnmeyer
- Date: Aug 2022
- Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Provider risk
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Responsible Machine Learning: Living Up to Our Professional Code of Conduct, ASOPs, and Corporate Requirements
Responsible Machine Learning: Living Up to Our Professional Code of Conduct, ASOPs, and Corporate Requirements Actuaries are leveraging predictive modeling and machine learning more and more as ...- Authors: James Dolstad, Abby Steele
- Date: Aug 2022
- Competency: Professional Values; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Predictive Analytics
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Response to March 2021 Practice Note on ASOP 6
Response to March 2021 Practice Note on ASOP 6 Response to March 2021 Practice Note on ASOP 6 blockquote { margin: 10px 20px 20px 20px; } .block-2 { margin: 10px 20px 20px 40px; } th, td { ...- Authors: Charles Edwards
- Date: Aug 2022
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data>Morbidity; Health & Disability>Health care
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Enhancing the Value of Critical Illness Insurance
Enhancing the Value of Critical Illness Insurance Critical illness insurance is a popular supplemental health insurance product in the U.S. market. This article discusses how carriers have ...- Authors: Ashlee Borcan
- Date: Feb 2022
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Product Matters!
- Topics: Health & Disability; Health & Disability>Critical illness insurance
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Understanding the Medical Stop-Loss Market
Understanding the Medical Stop-Loss Market This article details the medical stop-loss coverages purchased by HMOs, small insurers and providers taking delegated financial risk in payor ...- Authors: Keith Passwater, Peter Robinson, David Nelson
- Date: Jun 2022
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Reinsurance; Health & Disability>Provider risk
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Climate Impact on Tick-Borne Illnesses
Climate Impact on Tick-Borne Illnesses The SOA Research Institute Catastrophe and Climate Strategic Research Program released a report that explores the shifting geography of Lyme Disease in the ...- Authors: Society of Actuaries, R. Dale Hall
- Date: Jul 2022
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks; Environment
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Impact of Patient Care Innovation on Health Insurance
Impact of Patient Care Innovation on Health Insurance This study would assess the impact of recent patient care innovation(s) on health care and the health insurance industry. Sponsor This ...- Authors: Society of Actuaries
- Date: Jul 2022
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Technology & Applications
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Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment”
Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment” ACA risk adjustment is intended to "bridge the gap" between allowed rates and actuarial rates.- Authors: Greg Fann
- Date: Jun 2022
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Health & Disability>Health care
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Raising the Bar in Medicaid: Actuarial Driven Solutions to Support the Most Vulnerable
Actuaries have the business acumen, problem-solving capabilities, and technical skills to develop innovative and data-driven solutions in the social insurance space. It is time we expand our ...- Authors: Khurram Taufiq
- Date: Jan 2022
- Competency: External Forces & Industry Knowledge; Leadership; Strategic Insight and Integration
- Publication Name: In The Public Interest
- Topics: Health & Disability; Social Insurance; Social Insurance>Medicaid
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Evaluating Distribution Channel Options for Individual Insurance Products, Part 2: Call Center and Digital Platform Sales Channels
Evaluating Distribution Channel Options for Individual Insurance Products, Part 2: Call Center and Digital Platform Sales Channels Overview of call center and digital sales platforms for the ...- Authors: Art W Lewis
- Date: Oct 2022
- Competency: Strategic Insight and Integration
- Publication Name: News Direct
- Topics: Health & Disability; Life Insurance; Life Insurance>Marketing and distribution - Life Insurance