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  • Linking Quality and Costs: An Analysis of the Hospital Quality Information Initiatives Measure

    Linking Quality and Costs: An Analysis of the Hospital Quality Information Initiatives Measure In this era of rising health care costs, numerous efforts have been made to link quality and cost ...

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    • Authors: Jane Herfkens Jensen, Karl Madrecki, Guy Marszalek, John Stark, Curtis Lee Robbins, Steven Siegel, Canopy Roychoudhury, Nina Abubakari, Nancy Vecchioni, Tom Leyden, Ken Oishi
    • Date: Mar 2005
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care quality

  • Quality of Care Issues

    Quality of Care Issues Paper summarizes articles on quality care issues including - measurement & reporting, financing, patient safety, standards & education, and leadership. Health ...

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    • Authors: Society of Actuaries
    • Date: Jan 2003
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care quality

  • Organizations of Interest to Health Actuaries: Academy Health “Moving Evidence Into Action”

    Organizations of Interest to Health Actuaries: Academy Health “Moving Evidence Into Action” The article gives actuaries an introduction to Academy Health, the notable health policy research ...

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    • Authors: Society of Actuaries
    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Public Policy

  • A Facilitated Free Market Approach

    A Facilitated Free Market Approach This paper discussed providing consumers of medical care with transparent and comparable price and quality information to enable them to make economically ...

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    • Authors: Tim Maroz
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Public Policy

  • Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2

    Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2 Discover the key components of value-based care (VBC) contracts and their impact on provider ...

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    • Authors: Maria Knox, James Pisko, Keith Passwater
    • Date: May 2023
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques

  • Implementing Parity: Investing in Behavioral Health – Part 2

    Implementing Parity: Investing in Behavioral Health – Part 2 Part 1 of a 2-part series exploring implementation issues for the Mental Health Parity and Addiction Equity Act of 2008 MHPAEA. Part ...

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    • Authors: Stephen P Melek
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration>Effective decision-making
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Public Policy

  • MACRA/QPP Provider Revenue Model

    MACRA/QPP Provider Revenue Model The MACRA/QPP Provider Revenue Model is designed to provide an estimate of the revenue impact of the QPP (MIPS, AAPM) on a provider group or ACO, based on the ...

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    • Authors: Julie Witt
    • Date: Sep 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care quality; Health & Disability>Affordable Care Act (ACA); Health & Disability>Provider risk

  • MACRA/QPP Payer Revenue Model

    MACRA/QPP Payer Revenue Model The MACRA/QPP Payer Revenue Model is designed to provide Health Plans an estimate of the expected claim cost increase/decrease due to MACRA. Healthcare quality, ...

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    • Authors: Julie Witt
    • Date: Sep 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models; Modeling & Statistical Methods; Health & Disability>Affordable Care Act (ACA)

  • Health Reform - A Proposal

    Health Reform - A Proposal Essay reforming healthcare where participants have a vested interest in reaching the best answer. Cancer;Diabetes;Employee contributions;Employer contributions;Health ...

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    • Authors: Timothy Luedtke
    • Date: Jun 2009
    • Competency: Communication>Persuasive communication; Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
    • Topics: Enterprise Risk Management>Compliance; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Life Insurance; Life Insurance>Underwriting - Life Insurance; Life Insurance>Whole life; Long-term Care>Medical expenses; Pensions & Retirement>Funding; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Social Security; Health & Disability>Electronic medical record

  • Soundbites from the American Academy of Actuaries’ Health Practice Council

    Soundbites from the American Academy of Actuaries’ Health Practice Council Report on the activities of the Academy’s health practice council and its work groups. Consumer-driven health ...

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    • Authors: Heather E Jerbi, Melissa Lawler
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge; Leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Enterprise Risk Management>Risk measurement - ERM; Experience Studies & Data; Financial Reporting & Accounting; Health & Disability>Health care quality; Long-term Care; Public Policy
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