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  • Benchmarking to Maximize Managed Care Performance

    Benchmarking to Maximize Managed Care Performance How benchmarking actual performance to a published source is a useful tool in assessing the value added by a particular program or MCO, Issue No.

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    • Authors: Susan McQuillian
    • Date: Aug 2000
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance

  • Commercial Health Care: What’s Next?

    Commercial Health Care: What’s Next? This article contains excerpts from the first three articles that were released through the strategic initiative - Commercial Health Care: What’s Next? health ...

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    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy

  • New Behavioral Finance Subgroup

    New Behavioral Finance Subgroup Introduces the new behavioral finance subgroup and talks about why such a subgroup is needed. Diabetes;Obesity;Disease management 4294995965 1/1/2013 12:00:00 AM ...

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    • Authors: John Stark
    • Date: Jan 2013
    • Competency: Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Economics>Behavioral economics

  • Behavioral Finance Concepts for Actuaries

    Behavioral Finance Concepts for Actuaries This article describes seven results from behavioral finance that actuaries may find useful: heuristics, the endowment effect, loss aversion, prospect ...

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    • Authors: John Stark
    • Date: Jan 2014
    • Competency: Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Economics>Behavioral economics

  • Review: “Health Insurance for ‘Humans’: Information Friction

    Review: “Health Insurance for ‘Humans’: Information Friction A review of the academic article "Health Insurance for ‘Humans’: Information Frictions, Plan Choice, and Consumer ...

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    • Authors: Christopher Coulter, Kathleen Dobrzynski, Tyler Engel, Dorothy Andrews
    • Date: Nov 2016
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Economics>Behavioral economics; Economics>Health economics; Health & Disability>Health care

  • Building Actuarial Cost Models From Health Care Claims Data

    Building Actuarial Cost Models From Health Care Claims Data Using Healthcare Claims Data to Create Actuarial Models. Business intelligence;Data mining=Big data;Managed care 6442476744 6/1/2017 12 ...

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    • Authors: William Bednar
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence

  • Integrating Claims-Based and Survey-Based Data to Estimate Program Savings

    Integrating Claims-Based and Survey-Based Data to Estimate Program Savings An approach to quantify medical intervention savings when medical claims data is not available by leveraging overlapping ...

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    • Authors: Andrew Mackenzie, Ian G Duncan
    • Date: Oct 2017
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Estimation methods; Modeling & Statistical Methods>Regression analysis

  • Affordable Health Insurance Pricing for Faithful Persisters

    Affordable Health Insurance Pricing for Faithful Persisters Improving access to health care throughout life by requiring a minimum mandatory paid-up period MMPP. Issue No. 35. Individual health ...

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    • Authors: Dinkar B Koppikar
    • Date: Jun 1998
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance

  • Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality

    Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality This article describes the results of three years of work by Blue Shield ...

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    • Authors: Edward Cymerys
    • Date: May 2013
    • Competency: Relationship Management>Relationships and trust; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Payment models

  • A Simplified Method for Calculating Contract Reserves

    A Simplified Method for Calculating Contract Reserves A Simplified Method for Calculating Contract Reserves for individual medical insurance. From Health Section News, June 1998, Issue No. 35.

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    • Authors: Robert Cumming, Leigh Wachenheim
    • Date: Jun 1998
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
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