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Insights from Worldwide Health Care Systems—North America

WEBBy Joe Allbright, John Have, Walter Marsh, Susan Mateja. Editor’s note: This is the third in a series of articles from the Health Practice International Committee on ideas from …

Actived: 9 days ago

URL: https://contingencies.org/insights-worldwide-health-care-systems-north-america/

Insights from Worldwide Health Care Systems—Central

WEBBy Joe Allbright, Jonathan Callund, Andrea Cardoso, Jac Joubert, Walter Marsh, and Susan Mateja. Editor’s note: This is the fourth in a series of articles from the Health Practice …

Category:  Health Go Health

Social Determinants of Health – Contingencies Magazine

WEBMany intrinsic characteristics contribute to our state of health, such as age, genetics, and lifestyle. However, the external conditions into which we are born, grow, live, and work, …

Category:  Health Go Health

U.S. Health Employer Stop Loss—Considerations for New and …

WEBBy Ankit Nanda . making the CASE. As far back as one can recall, health care costs in the U.S. have been steadily climbing, with inflation in medical products and services …

Category:  Medical Go Health

Insights From Worldwide Health Care Systems: An Introduction

WEBEditor’s note: Welcome to Contingencies’ new department, “International Corner.” This first series will present thoughts and findings from the Health Practice International …

Category:  Health Go Health

On Target—Pursuing the Quadruple Aim in Health Care

WEBBy Dave Nelson and Keith Passwater. The Quadruple Aim in health care is a recent adaptation of an earlier concept: the triple aim. The triple aim was first described in 2008 …

Category:  Health Go Health

The Future of the ACA: Why any reforms to the health care law …

WEBBy Neil Sandhoefner. Actuaries work with probability and statistics every day, and I’m willing to bet that even though we all know an exponential distribution like the backs of our …

Category:  Health Go Health

Social Determinants of Health—Where Is the Evidence of Efficacy

WEBArtificial intelligence (AI) is going to change all professional work—including actuarial work. Machine learning (ML) and predictive analytics (PA) are tools of AI. Paul Conlin’s article …

Category:  Health Go Health

The Great Unwinding – Contingencies Magazine

WEBThose are a lot of questions! To pick a few, let’s examine deferred care, long COVID, and behavioral health. Deferred Care. Per a research piece by the Society of Actuaries …

Category:  Health Go Health

Is the Promise of AI Medicine and Digital Health Hampered by

WEBBy James F. Jordan. Health care accounts for more than 18% of the U.S. economy—a significantly higher proportion compared to other nations, which typically allocate …

Category:  Health Go Health

Insights from Worldwide Health Care Systems—Africa/Middle East

WEBBy Joe Allbright, Yair Babad, Doyin Famodu, Carl Ghiselli, Roseanne Harris, Walter Marsh, Susan Mateja, Bode Olajumoke, Muyiwa Tegbe. Editor’s note: This is the sixth in a …

Category:  Health Go Health

Insights from Worldwide Health Care Systems—Asia/Pacific

WEBBy Joe Allbright, Tomonori Hasegawa, Alex Leung, Susan Mateja, Stuart Rodger, and Zerong Yu. Editor’s note: This is the fifth in a series of articles from the Health Practice …

Category:  Health Go Health

Enterprise Risk Management for a Captive Audience

WEBEnterprise Risk Management for a Captive Audience. By Jason Alvarez and Mark Troutman. Health care insurance programs require capital to support the risk assumed …

Category:  Health Go Health

5G and Insurance—A Match for the Ages

WEBThe promise of 5G. At the peak of its capacity, 5G promises a speed of 10 gigabits per second, latency of less than 1 millisecond, and connection density supporting 1 million …

Category:  Health Go Health

Realigning LTCI—Private Long-Term Care Insurance and the …

WEBBy P.E. Forte. For more than 30 years, private long-term care insurance (LTCI) has been sold as a way to pay for expenses that can break a family’s budget, strip a surviving …

Category:  Health Go Health

Academy Task Force Plays Role in Getting Better Handle on …

WEBBy: Public Policy Department Staff. May marks the 75th anniversary of the creation of Mental Health Awareness Month, which focuses on the vital role mental health plays in …

Category:  Health Go Health

Calculation of Health Care Risk Adjustment Accruals

WEBThe risk scores calculated in a specific year are used to determine an MA-PD plan’s premium revenue the following year. For example, a member’s risk score calculated …

Category:  Health Go Health

Medicaid/CHIP Medical Loss Ratios—Lessons From the First Years …

WEBBy David A. Quinn. A medical loss ratio (MLR) measures the portion of premium revenue spent on claims. It is calculated differently depending on the health insurance product …

Category:  Medical Go Health

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