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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
  • Palliative Care
    Palliative Care This article from major US payers describes palliative care as a scaleable means of ... Payment models=Health care payment models;Health care costs;Managed care;Home health care 6442471996 11/1/2016 ...

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    • Authors: Randall Krakauer, Bruce Smith, Diane Meier, Torrie Fields
    • Date: Nov 2016
    • Competency: Leadership>Change management; Leadership>Influence; Leadership>Mentoring; Leadership>Professional network leverage; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Enterprise Risk Management>Systematic risk; Experience Studies & Data>Morbidity; Experience Studies & Data>Mortality; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models
  • Better Care Through Understanding the Customer Not Just the Patient
    Better Care Through Understanding the Customer Not Just the Patient Better Care Through Understanding ... Customer Not Just the Patient As actuaries in health care, we spend most of our time focused on reviewing ...

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    • Authors: James Dolstad, Craig Cartossa, Justin Hartmann
    • Date: Dec 2021
    • Competency: Results-Oriented Solutions; Strategic Insight and Integration; 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; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
  • Actuarial Aspects of Alternative Care
    Aspects of Alternative Care Presenter discusses issues related to alternative care, as well as SOA activity ... alternative care. From the Record of the Society of Actuaries, Vol. 24, No. 1. Health care costs;Health ...

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    • Authors: Lee Eric Launer
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality
  • Valuation of Care Management Vendors
    Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings by external ... external care vendors 5/1/2020 12:00:00 AM ...

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    • Authors: Rick S Pawelski
    • Date: May 2020
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
  • Health Care Reform Around the World
    Health Care Reform Around the World Panelists discuss major reforms of health care financing and delivery ... Act=ERISA;Government-funded healthcare;Health care costs;Health care quality;Health care reform;Health economics;Health ...

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    • Authors: Chiu-Cheng Chang, Lawrence Miike, Joshua Bank
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; 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: Health & Disability>Health care; Health & Disability>Health care quality; Public Policy
  • New Research Study Measurement of Health Care Quality and Efficiency: Resources for Health Care Professionals
    Study Measurement of Health Care Quality and Efficiency: Resources for Health Care Professionals Review of ... and physicians. Analytics and informatics;Health care quality;Statistical methods;Value-based insurance ...

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    • Authors: Sara Teppema
    • Date: Sep 2009
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care quality; Modeling & Statistical Methods>Data mining; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence
  • 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
  • The Forgotten Variable in the Health Care Equation
    The Forgotten Variable in the Health Care Equation Overview of public health (responsibilities, funding ... play in achieving population health goals. Health care quality;Health policy;Funding policy 6442483883 ...

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    • Authors: Bethany McAleer
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care quality; Public Policy; Public Policy
  • Our Value-Based Cup Runneth Over
    ontract-already-so-we-can-start-changing-health-care? These days, population health actuaries working ... value-based care) love this work. And we all have the same objectives—higher quality care, healthier populations ...

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    • 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