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  • Letter from the Editors

    Letter from the Editors The editors of Health Watch have made health care reform the focus of the Sepctember 2009 issue, and provide an introduction to the issue's contents. Health care ...

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    • Authors: Grady Catterall, Mary Kindel Van der Heijde
    • Date: Sep 2009
    • Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Social Insurance>Medicare
  • Soundbites from the American Academy of Actuaries’ Health Practice Council

    Soundbites from the American Academy of Actuaries’ Health Practice Council Updates on the efforts of the Academy’s health practice council. its work groups and task forces, to educate and ...

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    • Authors: Heather E Jerbi, Tim M Mahony
    • Date: May 2010
    • Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Influence; Professional Values>Public interest representation
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Experience Studies & Data; Public Policy; Public Policy; Social Insurance>Medicare
  • The Evolution of the Individual Market (Part II)

    The Evolution of the Individual Market (Part II) Part II of a two-part series discussing individual market evolution from before the ACA through President Trump's first term. Individual ...

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    • Authors: Gregory Fann
    • Date: Mar 2019
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy; Public Policy
  • ERISA Preemption and Managed Care Organizations

    ERISA Preemption and Managed Care Organizations Court cases demonstrating how ERISA Preemption Clause makes it difficult for members to sue Managed Care Organizations MCOs. Issue No. 41.

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    • Authors: Louis Lana
    • Date: Sep 2001
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Health Watch
    • Topics: Public Policy
  • Pay-for-Performance Through theLens of Unwarranted Variation inthe Delivery of Health Care

    Pay-for-Performance Through theLens of Unwarranted Variation inthe Delivery of Health Care This article deeply examines Pay-for-performance and presents curious findings through the lens of ...

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    • Authors: David Wennberg
    • Date: May 2006
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Direct Primary Care: Good for What Ails Us

    Direct Primary Care: Good for What Ails Us Discussion of direct primary care and how it helps with several challenges in health care today. DPC improves care coordination, improves outcomes, ...

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    • Authors: Gayle Brekke
    • Date: May 2016
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health insurance; Health & Disability>Payment models
  • The Evolution of the Individual Market (Part I)

    The Evolution of the Individual Market (Part I) Part I of a two-part series concerning the evolution of the individual market. It begins with background, discusses present markets and 2018 ...

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    • Authors: Gregory Fann
    • Date: Mar 2017
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • A Conversation with Alan Mills, ND, FSA

    A Conversation with Alan Mills, ND, FSA Excerpts from a conversation with Alan Mills regarding his work in complexity science and agent-based modeling. Complexity science 6442452727 1/1/2014 12: ...

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    • Authors: Mary Moran
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Modeling & Statistical Methods>Simulation
  • Assessing Prescription Opioid Risk with Predictive Analytics

    Assessing Prescription Opioid Risk with Predictive Analytics We highlight a new approach leveraging predictive analytics to identify high risk and rising risk opioid users for more effective ...

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    • Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; 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: Health Watch
    • Topics: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
  • The Actuarial Memorandum in Support of the Health Statement

    The Actuarial Memorandum in Support of the Health Statement Preparing an effective actuarial memorandum in support of the health actuarial opinion. Actuarial Opinion and Memorandum = ...

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    • Authors: Annette James, Nancy Hubler
    • Date: Oct 2018
    • Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>General business skills; Professional Values>Practice expertise
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance