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Population health management program development: The path …

WEBThis paper outlines a process to define effective population health management programs that will help hospital systems develop a step-by-step approach …

Actived: 3 days ago

URL: https://nodal.milliman.com/en/insight/population-health-management-program-development-the-path-to-the-triple-aim

ACA health insurer fee: Estimated impact on the U.S. health …

WEBOne of the notable revenue provisions included in the The Patient Protection and Affordable Care Act (ACA) is a fee imposed on health insurers.

Category: Health Go Health

Should your state establish a health insurance exchange

WEBNavigate today’s most pressing health industry challenges with a leading global expert by your side.

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Predictive Analytics for Insurance Milliman Nodal

WEBNodal® is a comprehensive solution that uses artificial intelligence (AI) and machine learning to analyze structured and unstructured data. Gain powerful insights into jumper …

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Healthcare reform large employer impact

WEBThe healthcare reform legislation drafted so far, if enacted, would have a number of implications for large employers. This briefing paper looks at both the Senate …

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Addiction and mental health vs. physical health: Analyzing …

WEBAs state and federal regulators increase their focus on the enforcement of mental health and addiction parity laws, nonquantitative treatment limitations have …

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Understanding healthcare costs: The employer-sponsored …

WEBTo understand how healthcare is financed, you must start with the flow of money into and out of the employer-sponsored insurance system.

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Claims Triage Milliman Nodal

WEBNodal® Claims Triage helps insurers and employers reduce claim severity by accelerating the identification of problematic claims with AI, allowing for timely implementation of cost …

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Medical Benchmarking Milliman Nodal

WEBMilliman Nodal named 2023 Innovation Award winner. Milliman’s Nodal Medical Benchmarking for WC was carefully chosen by an independent panel of professional risk …

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Healthcare reform: What about dental

WEBHealthcare reform will have a major impact on how dental insurance is offered, what services are covered, and the cost of coverage.

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Elevate workers comp claims with medical benchmarking

WEBKey metrics in claim benchmarking. Claim costs: In workers' compensation claim benchmarking, this would include medical payments, indemnity payments, and …

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Understanding healthcare plan costs and complexities

WEBMilliman Healthcare Reform Briefing Paper June 2009 Understanding Healthcare Plan Costs and Complexities Thomas D. Snook, FSA, MAAA; Robert H. …

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MILLIMAN WHITE PAPER GLP-1 agonists in Medicaid: …

WEBMILLIMAN WHITE PAPER . GLP-1 agonists in Medicaid: Utilization, growth, and management 4 January 2024 GLP-1 agonists approved by the U.S. Food and Drug …

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Capital requirements for health insurers

WEBMeet growing needs for innovative insurance solutions while increasing operational health and improving compliance.

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8 steps to a successful AI adoption strategy for claims

WEBStep 8: Monitor and iterate. Continuously monitor the performance of the AI solution against your organization’s established goals and objectives. Monitoring should …

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Life and health insurance M&A

WEBPublicly announced life and health deal values totaled c. $21.5 billion in 2023 compared to c. $20.4 billion in 2022 and c. $72.0 billion in 2021. (and its affiliates, as applicable), …

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Medicaid reimbursement options to address social risks and …

WEBMILLIMAN REPORT Medicaid Reimbursement Options to Address Social 1 October 2023 Risks and Health Related Social Needs EXECUTIVE SUMMARY This legislative report …

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Impact of climate change on disease prevalence

WEB2. Modelling Morbidity Impacts from Climate Change • Climate data: The volume of data is substantial, and its precision is remarkable. • Health data:

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Industry survey: Tackling claims department challenges with AI

WEBOne of the foremost challenges currently faced by claims executives is turnover at the frontline level. Rising’s study shows that attrition among claims …

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