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  • Evaluating Payment Models for High-Cost Curative Therapies

    Evaluating Payment Models for High-Cost Curative Therapies This report evaluates alternative payment models that potentially could be instituted by healthcare payers and manufacturers. The SOA is ...

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    • Authors: Society of Actuaries
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care; Health & Disability>Payment models

  • Calibrating Risk Score Model with Partial Credibility

    Calibrating Risk Score Model with Partial Credibility by Shea Parkes and Brad Armstrong Learn how to use concepts like ridge regression to train a model with partial credibility. by Shea Parkes ...
    • Authors: Sheamus Parkes, Brad Armstrong
    • Date: Oct 2015
    • Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Expanding Horizons
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Bayesian methods; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods; Predictive Analytics

  • Human Nature and the US Health Care System, Part I

    Human Nature and the US Health Care System, Part I The third in a series of four articles that illustrate the “soft” approach of game theory using Thucydides’ master work, The History of the ...
    • Authors: Carlos Eduardo Fuentes
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>General business skills; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Innovators & Entrepreneurs
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance

  • Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2

    Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2 Discover the key components of value-based care (VBC) contracts and their impact on provider ...

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    • 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; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics; Predictive Analytics>Modeling techniques

  • Provider Risk Sharing Boot Camp for Health Actuaries

    Provider Risk Sharing Boot Camp for Health Actuaries Changes introduced by various Medicare Alternative Payment Models and the Medicare Access and CHIP Reauthorization Act (MACRA) have accelerated ...

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    • Authors: Colleen Audrey Norris
    • Date: Nov 2018
    • Competency: External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare

  • Abstract: A Comparative Analysis of Chronic and Non-ChronicInsured Commercial Member Cost Trends

    Abstract: A Comparative Analysis of Chronic and Non-ChronicInsured Commercial Member Cost Trends This is the abstract to the paper, A Comparative Analysis of Chronic and Non-Chronic Insured ...

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    • Authors: Ian G Duncan, Robert Bachler, Iver Juster
    • Date: Jun 2005
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care

  • Abstract: The Cost and Benefits of Treating Type 2 Diabetes Mellitus as a Chronic Condition

    Abstract: The Cost and Benefits of Treating Type 2 Diabetes Mellitus as a Chronic Condition This is the abstract for the paper, The Cost and Benefits of Treating Type 2 Diabetes Mellitus as a ...

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    • Authors: Robert D Lieberthal
    • Date: Mar 2005
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Experience Studies & Data>Morbidity; Experience Studies & Data>Mortality; Health & Disability>Health care

  • A Comparative Analysis of Chronic and Non-Chronic Insured Commercial Member Cost Trends

    A Comparative Analysis of Chronic and Non-Chronic Insured Commercial Member Cost Trends Disease management DM is increasingly encountered in health plans and employer groups as a health care ...

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    • Authors: Ian G Duncan, Robert Bachler, Iver Juster
    • Date: Jun 2005
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership
    • Topics: Enterprise Risk Management>Compliance; Experience Studies & Data>Disability; Experience Studies & Data>Morbidity; Health & Disability>Health care; Health & Disability>Health risks

  • Visions for the Future of the U.S. Health Care System

    Visions for the Future of the U.S. Health Care System A call for essays issued by the SOA Health and Long Term Care Sections on the visions for the future of the U.S. health care system. Health ...

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    • Authors: Society of Actuaries
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy

  • Value for Money from the Top 20? A Critical Examination of Therapeutic Impact and Value of Top-Selling Drug Products against their Competitors

    Value for Money from the Top 20? A Critical Examination of Therapeutic Impact and Value of Top-Selling Drug Products against their Competitors Prescribers, payers, and patients must put a higher ...

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    • Authors: Alan Cassels
    • Date: May 2004
    • Competency: Communication>Persuasive communication; External Forces & Industry Knowledge>Internal forces and business performance; Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health care; Public Policy
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