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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.- 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
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Potential Membership Shifts for Medicare Prescription Drug Plans
Potential Membership Shifts for Medicare Prescription Drug Plans Changes in CMS requirements for 2011 Medicare Part D plans aimed at reducing confusion surrounding the PDP selection process by ...- Authors: Shelly Brandel
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicare
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Massachusetts Payment Reform from an Actuarial Perspective
Massachusetts Payment Reform from an Actuarial Perspective The article is a case study of various actuarial concepts invovled in the design and implementtion of the AQC - a global budget provider ...- Authors: Matthew Day, Jill Wilson
- Date: May 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Public Policy
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Letter from the Editor
Letter from the Editor Thank you to the contributors and those who helped. Brief description of the articles in the issue. Major medical insurance;Rate regulation 6442471994 11/01/2016 05:00:00 ...- Authors: Marilyn Medved McGaffin
- Date: Nov 2016
- Competency: Communication>Written communication; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice
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MACRA Ramifications to Medicare Supplement
MACRA Ramifications to Medicare Supplement The article describes the changes to payment structures as of 1/1/2017 and their influence to Medicare Supplement that will be happening as of 1/1/2020.- Authors: Marilyn Medved McGaffin
- Date: Nov 2016
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Why so Many People Have Untreated Mental Health Conditions
Why so Many People Have Untreated Mental Health Conditions The article reviews high-deductible health plans and poor reimbursement for mental health providers as being the root of 3 devastating ...- Authors: Dawn Motovidlak
- Date: Jun 2018
- Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models
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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 ...- 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
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Reaching Out for New Opportunities—New Market Research About Actuaries in the Health Care Industry
Reaching Out for New Opportunities—New Market Research About Actuaries in the Health Care Industry Key findings from a market research study which the SOA undertook as part of their strategic ...- Authors: Sara Teppema
- Date: May 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Professional network leverage; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Qualifications
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Is there currently an underwriting cycle?
Is there currently an underwriting cycle? An analysis of the 1999-2011 experience of all Blues plans of betweeen $1.8 and $3.8 billion in annual revenue in 2010 to determine if there is any ...- Authors: Mark Shaw
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Systematic risk; Health & Disability>Health insurance
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Medicare Advantage risk scores – Are you competitive?
Medicare Advantage risk scores – Are you competitive? What you need to know about risk scores to be competitive in the Medicare Advantage market. Medicare;Risk adjustment;Health insurance;Return ...- Authors: Corey Berger
- Date: Oct 2018
- Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare