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  • 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)
  • U.S. Health Care - Where to Look for Reform

    U.S. Health Care - Where to Look for Reform Essay discussing cost, quality and access of healthcare and then describes the need for rationing. Bankruptcy;Health care costs;Health care quality; ...

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    • Authors: Sam Gutterman
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge
    • Topics: Economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Social Insurance>Medicaid; Social Insurance>Medicare
  • Evaluating Approaches for Adoption of Medical Technologies

    Evaluating Approaches for Adoption of Medical Technologies The purpose of this project was to create a tool that would allow actuaries to derive an understanding of the evidence for medical ...

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    • Authors: Robert D Lieberthal
    • Date: Mar 2014
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care quality
  • 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
  • Abstracts of Health Articles from the North American Actuarial Journal

    Abstracts of Health Articles from the North American Actuarial Journal Highlights of health related articles from the North American Actuarial Journal. A paper on health care reform and ...

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    • Authors: Ian G Duncan
    • Date: Jan 2015
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy
  • Integrating Claims-Based and Survey-Based Data to Estimate Program Savings

    Integrating Claims-Based and Survey-Based Data to Estimate Program Savings An approach to quantify medical intervention savings when medical claims data is not available by leveraging overlapping ...

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    • Authors: Andrew Mackenzie, Ian G Duncan
    • Date: Oct 2017
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Estimation methods; Modeling & Statistical Methods>Regression analysis
  • The CLASS Act and its Aftermath

    The CLASS Act and its Aftermath CLASS Act and ACA Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care ...

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    • Authors: Robert Yee
    • Date: Aug 2015
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • Inventory – Measurement of Healthcare Quality and Efficiency

    Inventory – Measurement of Healthcare Quality and Efficiency This is the inventory part of the report from the research project that reviewed and inventoried the range of quality and efficiency ...

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    • Authors: Ian G Duncan, Greger J Vigen, Sheryl Coughlin
    • Date: Jan 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Topics: Health & Disability>Health care quality; Technology & Applications>Analytics and informatics
  • Ehren Nagel: SOA Predictive Analytics Certificate Has Positively Impacted My Work

    Ehren Nagel: SOA Predictive Analytics Certificate Has Positively Impacted My Work Early in his career, Ehren Nagel, FSA, MAAA, scoured through podcasts and articles about predictive analytics, ...

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    • Authors: Society of Actuaries
    • Date: Nov 2019
    • Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques; Predictive Analytics>Programming languages & tools; Health & Disability>Electronic medical record