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The Application of Data Blending to Resolve Unrelated Dimensions: A Tableau Use-Case for Calculating Per Member Per Year
presents a solution to this problem by utilizing Tableau's data blending capabilities. By Joshua Sigrist Health ... most granular level of detail in the Membership table is medical record number (Medicare beneficiary identifier ...- Date: May 2023
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Technology & Applications; Technology & Applications>Business intelligence; Technology & Applications>Computer science; Experience Studies & Data>Rate calculations; Experience Studies & Data>Table construction; Technology & Applications>Visualization
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Claims Reserve Margin in the Health Annual Statement: A Review of 2016–2021
statements. Summary of Results The results in Table 1 come from the S&P Global Market Intelligence database of ... 2019 and 2021 for dental blocks of business. From Table 1, the margin levels, as determined through restated ...- Authors: Robert Lang, Elliot McLeRoy
- Date: Nov 2023
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Claims - Health & Disability
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Biosimilars, Part 2: The Coming Wave
material. Biosimilars bring competition, and there’s going to be a lot of opportunity to drive competition ... reached. Patents can extend the reference product’s exclusivity period and complicate litigation challenging ...- Date: Sep 2023
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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The Potential of Infra-Low Frequency Neurofeedback to Reduce Medical Claim Costs and Dramatically Improve Patients’ Lives
nonverbal approach. It works by engaging the brain’s own mechanisms of self-regulation. Neurofeedback is ... in Symptoms for Adults, Seniors and Children The table in Figure 8 is a summary of filtering for each of ...- Date: Jul 2023
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance
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Critical Illness Turns 40!
made when a team of surgeons performed the world’s first human-to-human heart transplant.[1] The team ... changed significantly over the last 40 years, Barnard’s vision lives on. There are now variations in the types ...- Authors: Jennifer Howard, Ashlee Borcan
- Date: Sep 2023
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Experience Studies & Data>Morbidity; Health & Disability; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Experience Studies & Data>Rate calculations; Health & Disability>Incidence; Health & Disability>Rates - Health & Disability; Health & Disability>Termination - Health & Disability
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Biosimilars, Part 3: Humira Biosimilar Launches
which began in January with the arrival of Amgen’s Amjevita on the market. The launch of Amjevita kicks ... which began in January with the arrival of Amgen’s Amjevita on the market. The launch of Amjevita kicks ...- Authors: Tony Pistilli, Greg Warren
- Date: Nov 2023
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Public Policy
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A Mental Health State of the Union
mental health and health care in the US, as were it's heading moving forward. Mental health care, wellness ... significantly, has been a defining decision in my life’s path and is the reason I am able to maintain a mentally ...- Authors: Traci Leigh Hughes
- Date: May 2023
- Competency: Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care
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Biosimilars, Part 4: The Financial Impact
financial impact that could result from this year’s big event. Savings from biosimilars have accelerated ... financial impact that could result from this year’s big event. prescription drug costs, health care payment ...- Authors: Greg Warren, Tony Pistilli
- Date: Nov 2023
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Public Policy
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Biosimilars, Part 1: A Brief Introduction
United States prescription drug landscape and it’s economics? This article explores those questions as ... Biologics work by targeting specific parts of the body’s immune system to stop a disease from progressing.- Authors: Gregory Warren, Tony Pistilli
- Date: Sep 2023
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
improve credibility enough that a larger provider's own prior period experience can be used directly, ... for providers to trust. Questions of the form “it's not clear or fair that I should be measured based ...- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques