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  • Effect of RBRVS in Medicare on Private Health Insurance
    Effect of RBRVS in Medicare on Private Health Insurance This 1992 discussion is about the resource-based relative value scale [RBRVS]- where it is and where it's going, and its impact on ...

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    • Authors: Rosemary Montgomery, Woodrow H McDonald, T Allen Park, Joel E Miller, Connie Rennaker
    • Date: Apr 1992
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models
  • An Actuarial Model to Improve Health and Reduce Costs
    An Actuarial Model to Improve Health and Reduce Costs An actuarial model that provides financial incentives to providers to offer patients an approach that can reverse chronic disease and reduce ...

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    • Authors: Ken Beckman
    • Date: Oct 2017
    • Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
  • Why so Many People Have Untreated Mental Health Conditions
    Why so Many People Have Untreated Mental Health Conditions The article reviews high-deductible health plans and poor reimbursement for mental health providers as being the root of 3 devastating ...

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    • Authors: Dawn Motovidlak
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models
  • Massachusetts Payment Reform from an Actuarial Perspective
    Massachusetts Payment Reform from an Actuarial Perspective The article is a case study of various actuarial concepts invovled in the design and implementtion of the AQC - a global budget provider ...

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    • Authors: Matthew Day, Jill Wilson
    • Date: May 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Public Policy
  • Health Watch Issue 73, October 2013
    Health Watch Issue 73, October 2013 The entire issue of Health Watch. Health care costs;Health care quality;Health care reform;Medicaid;Medicare 6442451562 10/1/2013 12:00:00 AM ...

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    • Authors: Karen Perry, Society of Actuaries
    • Date: Oct 2013
    • Competency: Results-Oriented Solutions>Actionable recommendations
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
  • Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does It?
    Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does It? Article describes enhanced primary care models and provides citations on whether or not ...

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    • Authors: Tia Sawhney, Bruce Pyenson
    • Date: Jan 2015
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health risks; Health & Disability>Payment models
  • Section 1332 Waivers: Coming Soon to a State Near You?
    Section 1332 Waivers: Coming Soon to a State Near You? This article discusses new opportunities for states to waive certain marketplace requirements of the Patient Protection and Affordable Care ...

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    • Authors: Gregory Fann
    • Date: May 2016
    • Competency: Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy
  • Stormy Weather
    Stormy Weather A discussion of fraud and abuse in the Medicare payment system, and steps to address these problems. Claims review;Personal health records;Privacy laws;Data quality; 25890 12/1/ ...

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    • Authors: Brad S Linder
    • Date: Dec 2010
    • Competency: Professional Values>Ethical standards
    • Publication Name: Long-Term Care News
    • Topics: Health & Disability>Payment models; Public Policy; Social Insurance>Medicare; Health & Disability>Electronic medical record
  • Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans?
    Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans? Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans? ...

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    • Authors: Andrew James Timcheck, Cory Gusland, Michael Gaal
    • Date: Dec 2019
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Payment models
  • Health Watch, June 2017, Issue 83
    Health Watch, June 2017, Issue 83 Read the June 2017 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.

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    • Authors: Society of Actuaries
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability