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Opportunities for Bundling Medicare Supplement and Short-Term Care: The Perfect Match?
‘silver tsunami’ of the aging population in the U.S. Medicare provides generous benefits to the elderly ... home. STC is usually triggered by a policyholder’s inability to perform some of their activities of daily ...- Authors: Kenneth J Clark, Robert T Eaton
- Date: Mar 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Rates - Health & Disability; Long-term Care>Long-term care pricing; Long-term Care>Rates - Long-term Care; Long-term Care>Termination - Long-term Care
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Surprises in the No Surprises Act: An Interview with Greg Fann
is an update on the No Surprises Act, which is a U.S. Act aimed to reduce the risk that a person unexpectedly ... if it’s all right, we can also refer to it as the NSA. Greg Fann (GF): Thank you, Kristi. It’s good to ...- Authors: Kristi Bohn
- Date: Aug 2024
- Competency: Communication; External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance; Public Policy; Public Policy; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks
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The Potential of Infra-Low Frequency Neurofeedback to Reduce Medical Claim Costs and Dramatically Improve Patients’ Lives
nonverbal approach. It works by engaging the brain’s own mechanisms of self-regulation. Neurofeedback is ... in Symptoms for Adults, Seniors and Children The table in Figure 8 is a summary of filtering for each of ...- Date: Jul 2023
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance
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Better Care Through Understanding the Customer Not Just the Patient
types of data exist outside a health plan or provider’s walls that would enable us to develop a more holistic ... data sources that can help inform us of a member’s needs and wants. The first two are publicly available ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; 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; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Critical Illness Turns 40!
made when a team of surgeons performed the world’s first human-to-human heart transplant.[1] The team ... changed significantly over the last 40 years, Barnard’s vision lives on. There are now variations in the types ...- Authors: Jennifer Howard, Ashlee Borcan
- Date: Sep 2023
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Experience Studies & Data>Morbidity; Health & Disability; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Experience Studies & Data>Rate calculations; Health & Disability>Incidence; Health & Disability>Rates - Health & Disability; Health & Disability>Termination - Health & Disability
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ACA Financial Reporting: The Second Year
Society of Actuaries. Reprinted by permission. A s pricing actuaries are preparing to price the fourth ... with higher- risk enrollees as measured by the U.S. Department of Health and Human Services (HHS) risk ...- Authors: Aaron Wright
- Date: Nov 2016
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
improve credibility enough that a larger provider's own prior period experience can be used directly, ... for providers to trust. Questions of the form “it's not clear or fair that I should be measured based ...- 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
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The Art & Science of Pricing Small Group Medical Coverage: Renewal Pricing
care resources in a year will have a very high mortality rate as a group. This is true of large employers ... small employers. The categories are as shown in the table below. For the sake of clarity, let’s assume that ...- Authors: William Lane
- Date: Apr 2001
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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ACA Hot Topics
point in the legal process. In December 2018, a U.S. District Court judge in Texas ruled that the $0 ... March 2019, the U.S. District Court for the District of Columbia ruled in New York v. U.S. Department of ...- 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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Valuation of Care Management Vendors
Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings ... costs changed that. As an increasing part of the U.S. gross domestic product and American workers’ paychecks ...- 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