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Data Quality in Real Life
Data Quality in Real Life Discussion of the standards set by ASOP 23 on data quality within a health insurance context. Data quality; 9387 9/1/2001 12:00:00 AM ...- Authors: Karl Volkmar
- Date: Sep 2001
- Competency: Professional Values>Ethical standards; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Health & Disability
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Provider Risk-Sharing and Random Noise
Provider Risk-Sharing and Random Noise Discussion and Opinion on how randomness affects measurement of provider contracting risk-sharing agreements 7/3/2019 12:00:00 AM ...- Authors: Thomas Messer
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Provider networks; Health & Disability>Provider risk
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Full Medicare Part D Coverage through the Gap—an Endangered Benefit?
Full Medicare Part D Coverage through the Gap—an Endangered Benefit? This article takes a closer look at Medicare Part D Coverage and the types of payment demonstration payment of the federal ...- Authors: Julia Lambert
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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An Electronic Prescription for Health Care Efficiency
An Electronic Prescription for Health Care Efficiency This article discusses the positive aspects of E-prescribing, a transaction in which a physician transmits a prescription directly to a ...- Authors: Susan Pantely
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Technology & Applications
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The ABC’s of Health Section Research
The ABC’s of Health Section Research This article provides a basic overview of how Health Section research is initiated and conducted including the roles different parties play. Issue No 60 ...- Authors: Steven Siegel
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession
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Valuation of Care Management Vendors
Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings by external care vendors 5/1/2020 12:00:00 AM ...- Authors: Rick S Pawelski
- Date: May 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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ACA Hot Topics
ACA Hot Topics Update on Affordable Care Act topics, including Section 1332 waivers, Association Health Plans, silver loading and cost sharing reductions. small group health insurance, Major ...- Authors: Kristi Bohn
- Date: Jul 2019
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans
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Risk Adjustment: The Details and Why They Matter
Risk Adjustment: The Details and Why They Matter The CMS Risk adjustment model allows actuaries to apply our analytical skills and business knowledge to solve risk and revenue challenges within ...- Authors: Karena Weikel
- Date: Feb 2018
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks
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When Affordability Savings Do Not Reduce Costs
When Affordability Savings Do Not Reduce Costs Regression to the mean is a phenomenon that arises when comparing sequential data points. It states that when an initial observation is extreme or ...- Authors: Tony Pistilli
- Date: Dec 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Regression analysis; Predictive Analytics>Modeling techniques; Predictive Analytics>Quality control & model governance
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In Search of That Most Elusive Companion to the HealthActuary ... Data
In Search of That Most Elusive Companion to the HealthActuary ... Data sources of Health Care data Issue No. 37. Health care costs; 9348 4/1/2000 12:00:00 AM ...- Authors: Richard A Kipp
- Date: Apr 2000
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data