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  • Health Enables Wealth

    Health Enables Wealth Mental health spending has reached $147 billion in the United States with demand only increasing greatly impacting society as nearly 1 in 5 experience these issues. There ...

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    • Authors: Rich Gengler, Irving Steel, Stevan Hobfoll
    • Date: May 2016
    • Competency: Leadership>Thought leadership; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health information technology; Health & Disability>Health insurance; Public Policy; Public Policy
  • What No One Ever Told Me About the Rate Filing Process

    What No One Ever Told Me About the Rate Filing Process What No One Ever Told Me About the Rate Filing Process: how to deal the unspoken rules and politics. From Health Section News, December ...

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    • Authors: Karl Volkmar
    • Date: Dec 2000
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • New Report on Evaluating Payment Models for High-Cost Curative Therapies

    New Report on Evaluating Payment Models for High-Cost Curative Therapies This short article presents the latest SOA health research report on alternative payment models for high-cost curative ...

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    • Authors: Didier Serre
    • Date: Mar 2019
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models
  • Medical Underwriting:Protective Value Study ofMIB’s Checking Service

    Medical Underwriting:Protective Value Study ofMIB’s Checking Service Milliman performed an analysis of 894 uses of the checking service on individual medical health insurance applications to gain ...

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    • Authors: Jonathan L Shreve
    • Date: Sep 2006
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • 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
  • A Simple Proposal to Save the Individual ACA Market

    A Simple Proposal to Save the Individual ACA Market We propose using premiums and tax revenue to fund high-cost individuals in the Individual ACA market. Patient Protection and Affordable Care ...

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    • Authors: Joseph Slater, John Culkin
    • Date: Feb 2018
    • Competency: Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Public Policy
  • 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
  • Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative

    Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative This interview article summarizes the work being done by a Health Section Strategic Initiative ...

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    • Authors: Gregory Fann
    • Date: Feb 2018
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models
  • 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
  • Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model

    Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model As providers are considering accountable and value based care models, it is critical to ...

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    • Authors: Mark Bethke, James M Whisler, Amanda Holland
    • Date: May 2013
    • Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy