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  • Behavioral Economics: Overview and Healthcare Applications

    Behavioral Economics: Overview and Healthcare Applications This article provides an overview of behavioral economic theory as it relates to health and welfare insurance plans and provides ...

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    • Authors: Randy P Herman, Tony Pistilli, Brian Plaskow, Jeffrey Chanin
    • Date: Aug 2020
    • Competency: External Forces & Industry Knowledge; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Economics; Economics>Behavioral economics; Economics>Health economics; Health & Disability; Health & Disability>Health care
  • Why Everyone Hates HMOs

    Why Everyone Hates HMOs Article compares HMOs to other one stop non-health corporations that have gone away and states still in existance only due to forced government regulation, Issue No. 39.

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    • Authors: Gerry Smedinghoff
    • Date: Dec 2000
    • Competency: Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Don’t Forget the Data

    Don’t Forget the Data Using data to develop reserves for Incurred Prior Paid After and Incurred but Unpaid, Issue No. 38 Health reserves; 9367 8/1/2000 12:00:00 AM ...

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    • Authors: Robert Bachler
    • Date: Aug 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • National Health Care Reform: The Case for a Public Solution

    National Health Care Reform: The Case for a Public Solution Gostin argues that there is indeed a crisis in American health care. Global markets;Health care costs;Health care quality; 9472 5/1/ ...

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    • Authors: Lawrence Gostin
    • Date: May 2008
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Similarities between Medicare Prescription Drug Plans and Commercial Exchanges

    Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article compares the Prescription Drug Plan (PDP) market to the commercial individual market exchanges included ...

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    • Authors: Shelly Brandel
    • Date: Jan 2013
    • Competency: Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
  • 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
  • Letter from the Editor

    Letter from the Editor Recap of content contained in the January 2014 issue of the Health Watch newsletter. Health insurance;Health care costs;Medicaid;Patient Protection and Affordable Care Act ...

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    • Authors: Kurt Wrobel
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Practice expertise
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Public Policy
  • Public Health: The New Frontier

    Public Health: The New Frontier The article describes the Health Sections strategic initiative for Public Health and the role of the actuary. population health;public health;health care ...

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    • Authors: Sara Teppema
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy
  • Reasons to Reconcile

    Reasons to Reconcile Financial reconciliation is critical to a successful Medicare Advantage (MA) bid. Reconciliation should be routinely revisited as new information arises. Medicare;Corporate ...

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    • Authors: Gregory Sgrosso
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Internal forces and business performance
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • An Actuarial Response to the Health Care Crisis

    An Actuarial Response to the Health Care Crisis Discussion of steps that can be taken to control costs and future plan design changes. Part 2 of a 2 part series. Issue No. 48. Health care ...

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    • Authors: Daniel Wolak
    • Date: Oct 2004
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care