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2023-health-virtual-s07b
With the mandated health plan transparency files, health plans and providers are now able to substantially enhance their provider contracting efforts. Although the files are large and cumbersome ...- Date: Jan 2024
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Experience Studies & Data; Health & Disability; Modeling & Statistical Methods
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session-9h
This session will share insights on how to effectively evaluate and price the management high-cost claimants from three views: clinical, payer, and provider. Can predictive analytics help with ...- Date: Jan 2025
- Topics: Health & Disability; Predictive Analytics; FinTech & InsurTech
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session-10b
This session will focus on the introduction to Medicare Research Identifiable File (RIF) data and how you can turbocharge strategic decision-making for Medicare stakeholders. Through real-world ...- Date: Jan 2025
- Topics: Experience Studies & Data; Health & Disability
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session-8g
On July 1, 2023, CMS began their latest Medicare Oncology program, Enhancing Oncology Model (EOM) which was the successor to the previous Oncology Care Model (OCM). Despite a high level of ...- Date: Jan 2025
- Topics: Health & Disability; Social Insurance
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session-6c
This session will present three utilized underwriting models that can be used for mid-size employer group medical renewals. Key assumptions will be discussed including a significant focus on the ...- Date: Jan 2025
- Topics: Experience Studies & Data; Health & Disability; Reinsurance
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session-2f
Health equity is an issue on the minds of actuaries and policymakers across the health insurance market. As such, a tremendous amount of time and brain power has been invested in understanding ...- Date: Jan 2025
- Topics: Health & Disability
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session-2c
This topic will explore current and upcoming changes to the risk adjustment models and strategies for payers and risk bearing providers to reduce/avoid headwinds and potentially come out on top ...- Date: Jan 2025
- Topics: Health & Disability; Social Insurance
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2022-health-meeting-bundle
2022 Health Meeting Recording Bundle Medicare; Medicaid; Medicare Advantage; Cluster Analysis; Pharmacy Benefit Design; Social Determinants of Health (SDOH); Precision Medicine Diagnostics; ...- Date: Oct 2022
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability
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session-2b
The world has shrunk and there is no going back. In today’s post-pandemic business landscape, actuaries are frequently being asked to collaborate or lead within multicultural teams dispersed ...- Date: Jan 2025
- Topics: Actuarial Profession; Health & Disability
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session-7a
Join us as we explore Medigap claims assumptions and more. What has been driving cost increases? Does the trend vary by market? How are area factors determined? What opportunities exist for niche ...- Date: Jan 2025
- Topics: Experience Studies & Data; Health & Disability