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Medicaid Risk-Based Managed Care Financial Results: A Decade in Review
Medicaid Risk-Based Managed Care Financial Results: A Decade in Review This article provides an overview of the financial results of managed care plans over time using a collection of the NAIC ...- Authors: Jeremy Palmer
- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Economics>Health economics; Finance & Investments>Risk measurement - Finance & Investments; Financial Reporting & Accounting>Statutory accounting
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Health Section Actuaries at 2017 Academy Health Meeting
Health Section Actuaries at 2017 Academy Health Meeting Provides an overview of the Academy Health organization, its annual research meeting, and the SOA participation at that meeting. Health ...- Authors: Marjorie Rosenberg
- Date: Oct 2017
- Competency: Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Public Policy
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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 ...- Authors: Gregory Fann
- Date: Feb 2018
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models
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Risk Adjustment: The Details and Why They Matter
Risk Adjustment: The Details and Why They Matter The CMS Risk adjustment model allows actuaries to apply our analytical skills and business knowledge to solve risk and revenue challenges within ...- Authors: Karena Weikel
- Date: Feb 2018
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks
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ACA Hot Topics
ACA Hot Topics Update on Affordable Care Act topics, including Section 1332 waivers, Association Health Plans, silver loading and cost sharing reductions. small group health insurance, Major ...- Authors: Kristi Bohn
- Date: Jul 2019
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans
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The Black Sheep of the ACA Family
The Black Sheep of the ACA Family This article discusses the court cases dealing with the severability of the individual mandate from the Affordable Care Act. Severability is related to ...- Authors: Gregory Fann
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability; Public Policy
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April 2020 issue of Health Watch
April 2020 issue of Health Watch Read the April 2020 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.- Authors: Society of Actuaries
- Date: Apr 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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Valuation of Care Management Vendors
Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings by external care vendors 5/1/2020 12:00:00 AM ...- Authors: Rick S Pawelski
- Date: May 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Chairperson Corner
Chairperson Corner Description of the upcoming activities for the Health Section. 2/24/2020 12:00:00 AM ...- Authors: Jacqueline Lee
- Date: Feb 2020
- Competency: Communication; Relationship Management
- Publication Name: Health Watch
- Topics: Actuarial Profession; Health & Disability
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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 ...- 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