This document summarizes a presentation on managing financial risk in the NHS. It discusses concepts of insurance risk and provider risk. It outlines provisions in the Health and Social Care Bill related to allocating resources from the NHS Commissioning Board to clinical commissioning groups and managing insurance risk for providers. The document also discusses strategies for ex-ante and ex-post risk management, including risk bearing, risk sharing, and risk transfer. Finally, it presents an approach to person-based resource allocation and risk sharing between clinical commissioning groups using simulation modeling.
This is a partial preview of the document found here:
https://flevy.com/browse/business-document/wireless-spend-sourcing-framework-86
Description:
This presentation is an example of the process taken to execute a strategic sourcing exercise for Wireless spend. The Wireless spend category relates to mobile phone services ( Verizon Wireless, AT&T Wireless).
This document discusses various tax credits, deductions, and programs available for greening affordable multifamily housing. It provides an overview of the federal tax incentives available, including the 30% investment tax credit, 10% investment tax credit, production tax credit, energy efficiency tax deduction, and bonus depreciation. It also discusses state and utility-based programs in Massachusetts. Finally, it provides an example of a potential solar retrofit project using these incentives and financing structures.
The Office of State Lands and Investments (OSLI) manages wind energy leasing on state trust lands in Wyoming. There are currently 25 wind leases encompassing 50,052 acres. Revenue from wind leases has increased substantially in recent years, totaling $2.1 million to date. OSLI uses a progressive lease structure where rent and royalties increase over the lease period. Total installed wind capacity in Wyoming currently ranks 11th nationally at 1,099 megawatts.
This document provides information about Desjardins Financial Security Independent Network and the financial planning services they offer. They aim to offer comprehensive financial planning to entrepreneurs, business people, and seniors. Their mission is to help clients focus on their goals and dreams through developing a long-term financial plan that takes into account personal finances, insurance needs, investments, taxation, retirement planning, and protection from risks over a client's lifetime. They approach financial planning as "Financial Mapmaking" by creating a customized map to help clients achieve their dreams and goals.
Group disability insurance can help protect income if an illness or injury prevents working. It is often more affordable when obtained through an employer, school or organization. Coverage may be either short-term, paying benefits for months, or long-term, paying for years. Benefits typically replace 50-70% of income. Plans have waiting periods before payments start and may limit total payment periods.
The document discusses results-based financing mechanisms like Output Based Aid (OBA). It provides examples of OBA being used to expand access to basic infrastructure and energy in developing countries. Specifically, it outlines a successful OBA project in Bangladesh that financed solar home systems, leveraged private sector financing, and verified outputs to ensure quality of service.
Notice of Intent To Prepare an
Environmental Impact Statement for a
Proposed Federal Loan Guarantee To
Support Construction and Start-up of
the Taylorville Energy Center in
Taylorville, IL
This is a partial preview of the document found here:
https://flevy.com/browse/business-document/wireless-spend-sourcing-framework-86
Description:
This presentation is an example of the process taken to execute a strategic sourcing exercise for Wireless spend. The Wireless spend category relates to mobile phone services ( Verizon Wireless, AT&T Wireless).
This document discusses various tax credits, deductions, and programs available for greening affordable multifamily housing. It provides an overview of the federal tax incentives available, including the 30% investment tax credit, 10% investment tax credit, production tax credit, energy efficiency tax deduction, and bonus depreciation. It also discusses state and utility-based programs in Massachusetts. Finally, it provides an example of a potential solar retrofit project using these incentives and financing structures.
The Office of State Lands and Investments (OSLI) manages wind energy leasing on state trust lands in Wyoming. There are currently 25 wind leases encompassing 50,052 acres. Revenue from wind leases has increased substantially in recent years, totaling $2.1 million to date. OSLI uses a progressive lease structure where rent and royalties increase over the lease period. Total installed wind capacity in Wyoming currently ranks 11th nationally at 1,099 megawatts.
This document provides information about Desjardins Financial Security Independent Network and the financial planning services they offer. They aim to offer comprehensive financial planning to entrepreneurs, business people, and seniors. Their mission is to help clients focus on their goals and dreams through developing a long-term financial plan that takes into account personal finances, insurance needs, investments, taxation, retirement planning, and protection from risks over a client's lifetime. They approach financial planning as "Financial Mapmaking" by creating a customized map to help clients achieve their dreams and goals.
Group disability insurance can help protect income if an illness or injury prevents working. It is often more affordable when obtained through an employer, school or organization. Coverage may be either short-term, paying benefits for months, or long-term, paying for years. Benefits typically replace 50-70% of income. Plans have waiting periods before payments start and may limit total payment periods.
The document discusses results-based financing mechanisms like Output Based Aid (OBA). It provides examples of OBA being used to expand access to basic infrastructure and energy in developing countries. Specifically, it outlines a successful OBA project in Bangladesh that financed solar home systems, leveraged private sector financing, and verified outputs to ensure quality of service.
Notice of Intent To Prepare an
Environmental Impact Statement for a
Proposed Federal Loan Guarantee To
Support Construction and Start-up of
the Taylorville Energy Center in
Taylorville, IL
This 3-step guide provides information to help people better understand and plan for the risks, costs, and challenges of potential long-term care needs. Step 1 explains how long-term care can significantly impact one's finances and family. Step 2 recommends developing a long-term care plan to avoid costly mistakes. Step 3 suggests ways to reduce costs through long-term care insurance. The guide aims to help readers protect their assets and independence in case long-term care is needed.
This document summarizes an insurance policy for commercial liability and broadform coverage. It includes details about:
- The insurer, CGU Insurance Limited, and their support of the General Insurance Code of Practice which aims to raise industry standards.
- Important notices about claims processes, exclusions, excesses, liability assumed by agreement, acceptance of applications, and notifying alterations to your business.
- Coverage provided, definitions, limitations, additional benefits, exclusions, and claims procedures.
This document discusses output-based aid (OBA), an approach where subsidies are provided to service providers after independently verified outputs have been delivered, rather than being provided upfront as inputs. It outlines the benefits of OBA, including improved targeting of subsidies and efficiency gains. It also notes challenges such as demand risk and the need for capacity to implement and monitor OBA projects. The Global Partnership on Output-Based Aid (GPOBA) is introduced as a partnership that supports OBA approaches across various sectors including water, energy, and health.
The nonprofit organization anticipated a negative economic impact but was able to improve its financial situation through careful cost cutting and program restructuring rather than reducing services. It implemented new expenditure tracking and made afterschool programs more affordable. Increased fundraising, improved operations, and new procurement policies allowed them to add to reserves. Provided these approaches continue, programming should be more sustainable in the future.
This document summarizes a framework for tracking the impacts of the Affordable Care Act (ACA) in California. It was funded by a grant from the California HealthCare Foundation. The framework recommends priority measures in three areas: health insurance coverage, affordability and comprehensiveness of coverage, and access to care. It identifies existing data sources and gaps to measure these impacts over time. Stakeholder feedback supported the framework but emphasized drilling down data and better access measures.
An executive bonus arrangement allows an employer to pay bonuses to select employees that can be used to purchase personally owned life insurance policies. The employer's bonus payments are tax deductible as compensation, while the death benefits are received income tax free by beneficiaries. Key benefits for employers include rewarding employees, selective participation, and simple administration without approval requirements. Employees benefit from policy ownership, avoiding forfeiture risks, and accessing cash values for emergencies or investments. Restricted arrangements can provide employers continued influence through consent requirements for policy changes.
Progressive Corporation reported its May 2008 results. Net premiums written decreased 1% to $1.049 billion compared to May 2007. Net income decreased 3% to $79.3 million compared to May 2007. The combined ratio improved to 92.4% from 93.3% in May 2007 due to a decrease in losses and loss adjustment expenses. Total personal auto policies in force increased 1% to over 7.1 million policies compared to May 2007.
The document summarizes Phase 2 of a CBO project in Indonesia. Key points:
- Phase 2 will use an "on-granting" mechanism and increase the role of local governments to mainstream and scale up the program.
- Local governments will prepare CBO proposals for expansion and receive grants for successful proposals.
- An oversight consultant will assist in assessing proposals. Capacity building will support CBOs and local governments.
- CBOs will implement expansions using an output-based grant model requiring counterpart funding from local governments and CBOs. Grants will cover approximately 60% of expansion costs. CBOs can optionally borrow to leverage grants.
- The program aims to upgrade 1,300
The Congressional Budget Office estimates the budgetary effects of the Budget Control Act of 2011. It finds that imposing discretionary spending caps and establishing a Congressional committee to find further savings would reduce deficits by at least $2.1 trillion from 2012-2021 compared to current law. The caps would cut spending relative to CBO's baseline projections. The act aims to reduce improper payments through new "program integrity" initiatives.
The document provides statistics on Thank You Week 2015, a development series for student athletes. It shows that 117 student athletes across 31 of 36 sports participated. The program saw significant growth in social media engagement on Twitter and Instagram from 2014 to 2015, with over 900,000 impressions generated and posting increasing by over 3,000% from October 2014 to October 2015.
This document lists European automobiles from different countries, including the Alfa Romeo Mito from Italy, Aston Martin DBS from England, Audi R8 from Germany, Bentley Continental GT from England, BMW Z4 Roadster from Germany, Bugatti Veyron from France, Citroen GT from France, Ferrari F430 from Italy, Lamborghini Gallardo from Italy, Land Rover Freelander from England, Maserati Gran Turismo from Italy, Mercedes Benz McLaren SLR from Germany, Porsche Carrera GT from Germany, Rolls Royce Phantom Coupe from Great Britain, Mini Cooer from the United Kingdom, and Peugeot RCZ from France
Klonopin is a benzodiazepine prescribed to treat anxiety disorders. The document discusses both the benefits and risks of taking anxiety medication. While medications can effectively reduce anxiety symptoms fast, there are also risks of side effects and dependency developing with long-term use. The document also presents alternatives to medication such as psychotherapy, meditation, herbal supplements, and lifestyle changes that may help treat anxiety without the risks of prescription drugs. Millions take anxiety medications but some in the holistic community advocate natural alternatives.
2005:How Trade Liberalisation Can Contribute to solving the Crisis in the Bee...econsultbw
This document discusses how trade liberalization could help resolve the crisis facing Botswana's beef and cattle sector. It notes that while historically important, the sector has experienced long-term decline and stagnation in recent decades. It is heavily protected through the state-owned Botswana Meat Commission's monopoly on beef exports and a ban on live cattle exports. The document evaluates proposals to liberalize trade by lifting the ban on live cattle exports. It argues this could stimulate higher productivity and offtake in the cattle farming sector, improve supply to the BMC, increase export earnings and incomes, and help restore profitability. Overall trade liberalization may support reforms needed to ensure long-term viability and growth of the beef and cattle industry.
Martin Bardsley: Risk sharing and risk pooling in healthNuffield Trust
This document summarizes key points from a presentation on financial risk sharing and risk pooling in the English NHS. It discusses the importance of managing financial risk under new models of commissioning and provision. It outlines different sources of variance from budgets and examines strategies like risk bearing, sharing, and transferring. It also analyzes the impacts of factors like population size, time periods, and truncation thresholds on financial risk for clinical commissioning groups. The document concludes by identifying several important issues to address going forward around appropriate levels of risk, risk pooling mechanisms, regional differences, and rules for underspends and overspends.
New Oak Creating An Effective Risk Modeling Framework (Pensions Risk Manage...Ron D'Vari
The document discusses various approaches to liability driven investing (LDI), including:
1) Different styles of LDI ranging from basic cash-flow matching to more sophisticated asset allocation strategies. Effective LDI also requires ongoing risk management and reporting.
2) Modern portfolio theory that ignores liability risks, while LDI focuses on optimizing relative to liability benchmarks and measuring inter-temporal risk relative to liabilities.
3) The impact of market conditions on LDI, as liability benchmarks outperform in down markets but market benchmarks work better in up markets, influencing sponsor preferences and contributions.
Wynand van de Ven: A perspective on risk from the NetherlandsNuffield Trust
The document discusses risk sharing and risk pooling in the Dutch health care system. It notes that over the past 20 years, the Dutch government has gradually reduced risk sharing and risk pooling arrangements between health insurers. As a result, the financial risk that insurers take on for exceeding their predicted health care budgets has increased from 0% in 1992 to around 90% in 2012. The document contrasts the Dutch system of budgetholding insurers with that of commissioning entities in England, noting some differences that could lead to interesting policy discussions.
Andrew G. Mude (ILRI). Building Climate Resilient Livelihoods through Index-Insurance in Northern Kenya. Presented at CCAFS Science Meeting, 1-2 December 2010
This document discusses using predictive models and linking different types of healthcare data to improve quality and efficiency. It provides examples of predictive models being used in the UK to identify high-risk patients and assess their future healthcare costs. The document also outlines how linking data from various sources, like medical records, hospital data, and social care, can provide a more comprehensive view of patients' care over time. Evaluating the impact of interventions using retrospective analyses with matched controls is discussed. Protecting patient privacy when linking personal data is also addressed.
The document discusses healthcare reform and what it means for providers. It notes rising healthcare costs and quality issues that reform aims to address. Key points of reform include accountable care organizations, value-based purchasing, bundled payments, and shared savings models that shift risk to providers. Reform goals include reducing readmissions and improving care coordination. The document outlines milestones and changes coming in 2010-2014, including payment cuts for high readmission rates. It discusses technology needs to manage reform including data analytics, EMRs, and outcomes reporting.
The document outlines key aspects of valuing medical laboratories, including:
- What pathology is and the different types (clinical and anatomic)
- How laboratories generate revenue through billing payors like Medicare and insurance companies for procedures coded using CPT codes
- Details of the Medicare reimbursement process and fee schedules that determine payment amounts for laboratory services
- Sources of revenue for laboratories including referrals from physician offices and hospitals
- Factors that influence laboratory revenues such as Medicare spending trends and reimbursement rates
This 3-step guide provides information to help people better understand and plan for the risks, costs, and challenges of potential long-term care needs. Step 1 explains how long-term care can significantly impact one's finances and family. Step 2 recommends developing a long-term care plan to avoid costly mistakes. Step 3 suggests ways to reduce costs through long-term care insurance. The guide aims to help readers protect their assets and independence in case long-term care is needed.
This document summarizes an insurance policy for commercial liability and broadform coverage. It includes details about:
- The insurer, CGU Insurance Limited, and their support of the General Insurance Code of Practice which aims to raise industry standards.
- Important notices about claims processes, exclusions, excesses, liability assumed by agreement, acceptance of applications, and notifying alterations to your business.
- Coverage provided, definitions, limitations, additional benefits, exclusions, and claims procedures.
This document discusses output-based aid (OBA), an approach where subsidies are provided to service providers after independently verified outputs have been delivered, rather than being provided upfront as inputs. It outlines the benefits of OBA, including improved targeting of subsidies and efficiency gains. It also notes challenges such as demand risk and the need for capacity to implement and monitor OBA projects. The Global Partnership on Output-Based Aid (GPOBA) is introduced as a partnership that supports OBA approaches across various sectors including water, energy, and health.
The nonprofit organization anticipated a negative economic impact but was able to improve its financial situation through careful cost cutting and program restructuring rather than reducing services. It implemented new expenditure tracking and made afterschool programs more affordable. Increased fundraising, improved operations, and new procurement policies allowed them to add to reserves. Provided these approaches continue, programming should be more sustainable in the future.
This document summarizes a framework for tracking the impacts of the Affordable Care Act (ACA) in California. It was funded by a grant from the California HealthCare Foundation. The framework recommends priority measures in three areas: health insurance coverage, affordability and comprehensiveness of coverage, and access to care. It identifies existing data sources and gaps to measure these impacts over time. Stakeholder feedback supported the framework but emphasized drilling down data and better access measures.
An executive bonus arrangement allows an employer to pay bonuses to select employees that can be used to purchase personally owned life insurance policies. The employer's bonus payments are tax deductible as compensation, while the death benefits are received income tax free by beneficiaries. Key benefits for employers include rewarding employees, selective participation, and simple administration without approval requirements. Employees benefit from policy ownership, avoiding forfeiture risks, and accessing cash values for emergencies or investments. Restricted arrangements can provide employers continued influence through consent requirements for policy changes.
Progressive Corporation reported its May 2008 results. Net premiums written decreased 1% to $1.049 billion compared to May 2007. Net income decreased 3% to $79.3 million compared to May 2007. The combined ratio improved to 92.4% from 93.3% in May 2007 due to a decrease in losses and loss adjustment expenses. Total personal auto policies in force increased 1% to over 7.1 million policies compared to May 2007.
The document summarizes Phase 2 of a CBO project in Indonesia. Key points:
- Phase 2 will use an "on-granting" mechanism and increase the role of local governments to mainstream and scale up the program.
- Local governments will prepare CBO proposals for expansion and receive grants for successful proposals.
- An oversight consultant will assist in assessing proposals. Capacity building will support CBOs and local governments.
- CBOs will implement expansions using an output-based grant model requiring counterpart funding from local governments and CBOs. Grants will cover approximately 60% of expansion costs. CBOs can optionally borrow to leverage grants.
- The program aims to upgrade 1,300
The Congressional Budget Office estimates the budgetary effects of the Budget Control Act of 2011. It finds that imposing discretionary spending caps and establishing a Congressional committee to find further savings would reduce deficits by at least $2.1 trillion from 2012-2021 compared to current law. The caps would cut spending relative to CBO's baseline projections. The act aims to reduce improper payments through new "program integrity" initiatives.
The document provides statistics on Thank You Week 2015, a development series for student athletes. It shows that 117 student athletes across 31 of 36 sports participated. The program saw significant growth in social media engagement on Twitter and Instagram from 2014 to 2015, with over 900,000 impressions generated and posting increasing by over 3,000% from October 2014 to October 2015.
This document lists European automobiles from different countries, including the Alfa Romeo Mito from Italy, Aston Martin DBS from England, Audi R8 from Germany, Bentley Continental GT from England, BMW Z4 Roadster from Germany, Bugatti Veyron from France, Citroen GT from France, Ferrari F430 from Italy, Lamborghini Gallardo from Italy, Land Rover Freelander from England, Maserati Gran Turismo from Italy, Mercedes Benz McLaren SLR from Germany, Porsche Carrera GT from Germany, Rolls Royce Phantom Coupe from Great Britain, Mini Cooer from the United Kingdom, and Peugeot RCZ from France
Klonopin is a benzodiazepine prescribed to treat anxiety disorders. The document discusses both the benefits and risks of taking anxiety medication. While medications can effectively reduce anxiety symptoms fast, there are also risks of side effects and dependency developing with long-term use. The document also presents alternatives to medication such as psychotherapy, meditation, herbal supplements, and lifestyle changes that may help treat anxiety without the risks of prescription drugs. Millions take anxiety medications but some in the holistic community advocate natural alternatives.
2005:How Trade Liberalisation Can Contribute to solving the Crisis in the Bee...econsultbw
This document discusses how trade liberalization could help resolve the crisis facing Botswana's beef and cattle sector. It notes that while historically important, the sector has experienced long-term decline and stagnation in recent decades. It is heavily protected through the state-owned Botswana Meat Commission's monopoly on beef exports and a ban on live cattle exports. The document evaluates proposals to liberalize trade by lifting the ban on live cattle exports. It argues this could stimulate higher productivity and offtake in the cattle farming sector, improve supply to the BMC, increase export earnings and incomes, and help restore profitability. Overall trade liberalization may support reforms needed to ensure long-term viability and growth of the beef and cattle industry.
Martin Bardsley: Risk sharing and risk pooling in healthNuffield Trust
This document summarizes key points from a presentation on financial risk sharing and risk pooling in the English NHS. It discusses the importance of managing financial risk under new models of commissioning and provision. It outlines different sources of variance from budgets and examines strategies like risk bearing, sharing, and transferring. It also analyzes the impacts of factors like population size, time periods, and truncation thresholds on financial risk for clinical commissioning groups. The document concludes by identifying several important issues to address going forward around appropriate levels of risk, risk pooling mechanisms, regional differences, and rules for underspends and overspends.
New Oak Creating An Effective Risk Modeling Framework (Pensions Risk Manage...Ron D'Vari
The document discusses various approaches to liability driven investing (LDI), including:
1) Different styles of LDI ranging from basic cash-flow matching to more sophisticated asset allocation strategies. Effective LDI also requires ongoing risk management and reporting.
2) Modern portfolio theory that ignores liability risks, while LDI focuses on optimizing relative to liability benchmarks and measuring inter-temporal risk relative to liabilities.
3) The impact of market conditions on LDI, as liability benchmarks outperform in down markets but market benchmarks work better in up markets, influencing sponsor preferences and contributions.
Wynand van de Ven: A perspective on risk from the NetherlandsNuffield Trust
The document discusses risk sharing and risk pooling in the Dutch health care system. It notes that over the past 20 years, the Dutch government has gradually reduced risk sharing and risk pooling arrangements between health insurers. As a result, the financial risk that insurers take on for exceeding their predicted health care budgets has increased from 0% in 1992 to around 90% in 2012. The document contrasts the Dutch system of budgetholding insurers with that of commissioning entities in England, noting some differences that could lead to interesting policy discussions.
Andrew G. Mude (ILRI). Building Climate Resilient Livelihoods through Index-Insurance in Northern Kenya. Presented at CCAFS Science Meeting, 1-2 December 2010
This document discusses using predictive models and linking different types of healthcare data to improve quality and efficiency. It provides examples of predictive models being used in the UK to identify high-risk patients and assess their future healthcare costs. The document also outlines how linking data from various sources, like medical records, hospital data, and social care, can provide a more comprehensive view of patients' care over time. Evaluating the impact of interventions using retrospective analyses with matched controls is discussed. Protecting patient privacy when linking personal data is also addressed.
The document discusses healthcare reform and what it means for providers. It notes rising healthcare costs and quality issues that reform aims to address. Key points of reform include accountable care organizations, value-based purchasing, bundled payments, and shared savings models that shift risk to providers. Reform goals include reducing readmissions and improving care coordination. The document outlines milestones and changes coming in 2010-2014, including payment cuts for high readmission rates. It discusses technology needs to manage reform including data analytics, EMRs, and outcomes reporting.
The document outlines key aspects of valuing medical laboratories, including:
- What pathology is and the different types (clinical and anatomic)
- How laboratories generate revenue through billing payors like Medicare and insurance companies for procedures coded using CPT codes
- Details of the Medicare reimbursement process and fee schedules that determine payment amounts for laboratory services
- Sources of revenue for laboratories including referrals from physician offices and hospitals
- Factors that influence laboratory revenues such as Medicare spending trends and reimbursement rates
A New Arrow for The Pension Practitioners Quiver: Pension Risk TransferJay Dinunzio
Webinar Presentation Slides
Gone are the days of group annuity contracts only being able to satisfy the plan termination objectives of a pension plan sponsor. Today, there are a wide variety of useful applications for guaranteed institutional annuity contract structures to provide an alternative to traditional fixed income investments. Are you or your pension clients:
•Struggling with cost and volatility issues surrounding a defined benefit pension plan?
•Considering a liability driven investment strategy that will de-risk the plan investment and allow for stable, predictable funding?
•Limited by fixed income funds that only allow for simple duration matching, and expose the plan to cash flow mismatch risks?
•Unaware of the variety of customized institutional insurance contract structures available?
•Lacking a fiduciary process for evaluating and monitoring the attractiveness of insured pension solutions?
Crop insurance plays a key role in managing agricultural risk. It allows farmers to pool unpredictable yield and revenue risks, making losses more predictable. The US has a unique public-private partnership where the government subsidizes premiums and offers reinsurance so farmers can afford coverage, and private companies deliver the program and service policies. Under this system, crop insurance has grown to provide billions of dollars in coverage and indemnities annually to US agriculture.
This M Intelligence piece will explore the product mechanics and design considerations of Whole Life (WL) insurance. There are two general categories of WL...
This document provides an overview of cat bonds, which offer an alternative capacity source for natural catastrophe insurance. Cat bonds transfer catastrophe risk to the capital markets through securitization. Since 1997, 141 cat bonds have been issued totaling $27 billion in risk limits. The market started growing significantly after major hurricanes and earthquakes in the 1990s. Investor interest continues to rise due to attractive yields and increased understanding of natural catastrophe risk. Cat bonds and other insurance-linked securities may prove useful for risk management in China and other parts of Asia in the future.
This document discusses the importance of risk management frameworks for non-banking financial companies (NBFCs) in India. It outlines several types of risks NBFCs face, including credit, liquidity, interest rate, and operational risks. It also describes how NBFCs are interconnected with banks and other financial institutions, creating systemic risks. The document then examines key aspects of risk management frameworks for NBFCs in India, such as liquidity risk management, risk-based internal auditing, and capital adequacy requirements. It emphasizes the need for robust risk management practices given recent crises among some large NBFCs.
The document is a presentation summarizing key findings from Capgemini's 2014 World Insurance Report (WIR14). It provides an overview of the report's analysis of insurance industry efficiency ratios, customer experience index, and digital capabilities. Some of the main findings include:
- Insurers had improved profits in 2012 due to lower catastrophe claims and increased use of technology to improve operating ratios.
- Australia saw the biggest improvement in underwriting ratios from lower claims costs due to an absence of major disasters.
- The customer experience index shows that close to 70% of customers do not have positive experiences with their insurers, representing an opportunity to improve profitability through better customer experience.
- Insurers expect nearly a
Accountable Care Organizations: Overview and the Role of Information TechnologyDave Shiple
This document provides an overview of Accountable Care Organizations (ACOs) and the role of information technology in ACOs. It describes the key features and goals of the Medicare Shared Savings Program for ACOs, including quality reporting requirements and the role of health information technology (HIT) in enabling care coordination, population health management, and sharing of cost savings. The document also presents potential delivery models, governance structures, and an IT reference model for ACOs.
The document provides two draft alternatives for determining cash flows from reinvested assets in life insurance reserve calculations. It requests comments on the draft by a certain date. The draft includes sections on minimum reserves, net premium reserves, deterministic reserves, stochastic reserves, cash flow models, reinsurance, and assumptions. It establishes principles for principle-based reserves for life insurance products in accordance with the Standard Valuation Law.
Risk for financial agencies in providing affordable disaster insurance to dev...Global Risk Forum GRFDavos
This document summarizes a presentation on providing affordable disaster insurance to developing countries. It discusses:
1) The increasing frequency and impacts of natural disasters worldwide including recent events in Haiti, Japan, India, and more.
2) The large gap between overall disaster losses and insured losses.
3) The various funding sources needed for disaster response, recovery, and reconstruction including taxes, debt financing, donations, (re)insurance, and catastrophe bonds.
4) The roles financial institutions can play in developing risk models, policy development, needs analysis, and providing access to capital markets.
5) The risks financial institutions face in making insurance affordable and from inaccurate risk data or ineffective disaster risk reduction strategies.
This document discusses weather index crop insurance provided by Sanasa Insurance Company in Sri Lanka. [1] It provides payouts to farmers when weather indices like rainfall fall outside predetermined thresholds. [2] Sanasa first offered this insurance in 2010 and has since expanded coverage. [3] While it reduces issues like delays and human errors in claims, scaling it up faces challenges like the costs of implementation and lack of reliable weather data in all areas.
Delivering Telehealth At Scale In Northern Ireland - Jim O'Donghuehealthcareisi
The document discusses delivering telehealth at scale in Northern Ireland from a service provider perspective. It notes that chronic diseases account for a large portion of health spending and issues in NI. It raises questions for NI authorities about whether telehealth should be provided publicly or outsourced, and what a potential outsourced model might look like. It then discusses options for procuring telehealth including managed service models and responsibilities of commissioners and providers in such models.
Risk Appetite: A new Menu under Basel 3? Pieter Klaassen (UBS - Firm-wide Risk Control & Methodology) voor het Zanders Risicomanagement Seminar 1 november 2012
This document discusses conflicts of interest that may arise for clinicians under clinical commissioning arrangements. It provides examples from the US of financial incentives for physician groups to undertreat patients if care costs less than a capitated budget. The document also notes a UK case study where GPs on a committee deciding funding allocations also sat on the public company bidding for that funding. Government responses to address conflicts are mentioned, such as enhanced governance and publishing contract details. Concerns over incentives to reduce referrals in contracts are also summarized.
Similar to Jennifer Dixon: Managing financial risk in the NHS (20)
This document discusses the potential impacts of automation on healthcare employment and discusses alternative views beyond job loss. It notes that automation may lead to reconfiguring of healthcare work rather than outright job loss. Examples of existing technologies that have automated tasks in healthcare like pharmacy automation and emerging technologies like decision support systems and personal health tracking are provided. The document advocates that automation could lead to a virtuous cycle in healthcare if it allows workers to focus on tasks that require human skills and judgment.
Evaluation of the Integrated Care and Support Pioneers ProgrammeNuffield Trust
This document summarizes the findings of evaluations of the Integrated Care and Support Pioneers Programme in the UK. The evaluations found that while Pioneers aspired to comprehensive system change, their activities focused more narrowly on initiatives like risk stratification and care coordination teams. Progress was difficult to measure against indicators and Pioneers faced challenges from financial pressures and competing priorities. The evaluations concluded that further integration will be challenging under increasing demands on the health system.
The document discusses lessons learned from the Southwark and Lambeth Integrated Care (SLIC) program in London. Key points:
- SLIC aimed to reduce hospital admissions and care home placements for older adults through risk stratification, holistic assessments, and care management.
- Success required agreement on the problem, dedicated teams, funding shifts to support community care, and leadership development.
- Future programs need a strong business case, co-design with citizens, and a dedicated "engine room" team to drive local transformation.
Effectiveness of the current dominant approach to integrated care in the NHSNuffield Trust
Jonathan Stokes of the Greater Manchester Primary Care Patient Safety Translational Research Centre presents a systematic review of case management in integrated care.
Providing actionable healthcare analytics at scale: Understanding improvement...Nuffield Trust
This document discusses measurement for quality improvement. It explains that measurement in improvement aims to provide a basis for action to improve processes and outcomes, rather than just estimating parameters. Improvement measures should be simple, specific, and available in real-time. Statistical process control methods are important to separate normal variation from changes resulting from interventions. Examples are provided of run charts measuring improvements in recording BMI for mental health patients and compliance with care bundles. The document advocates making the theories behind improvement efforts more explicit.
Ramani Moonesinghe, Associate National Clinical Director for Elective Care at NHS England, discusses the use of data for monitoring care quality at various levels within the system.
This document discusses using statistical process control (CUSUM) charts to monitor mortality rates at the level of individual general practitioners and health authorities. It describes how CUSUM charts could potentially have detected Harold Shipman, a GP who murdered over 200 patients, by spotting outliers in the routine mortality data. The document also discusses challenges in risk adjusting outcomes to account for differences in patient characteristics and casemix between providers. Accurately adjusting for factors like age, comorbidities, and emergency status is important for fair comparisons but difficult using only administrative data.
Martin Utley, Director of the Clinical Operational Research Unit at University College London, reflects upon his involvement in the launch of specific tools to monitor care quality for paediatric cardiac surgery.
Evaluating new models of care: Improvement Analytics UnitNuffield Trust
Martin Caunt, Improvement Analytics Unit Project Director and NHS England and Adam Steventon, Director of Data Analytics at The Health Foundation share insights into how they have approached evaluating new models of care.
Lisa Annaly, Head of Provider Analytics at the Care Quality Commission, discusses lessons learned from the CQC as they have worked to monitor care quality over time.
- Real-time monitoring of healthcare services requires defining both a reporting window and data window to accurately capture demand, activity, and wait times.
- Using only a reporting window (e.g. a single month) to request data can result in invalid or misleading performance metrics, as it does not account for patients with long wait times.
- Defining a larger data window that includes all patients requested before the end of the reporting window and reported after the start avoids this problem, but requires a counterintuitive data request.
- Without properly defining both windows, real-time monitoring can provide an inaccurate picture of service performance and falsely suggest the need for more resources.
Monitoring quality of care: making the most of dataNuffield Trust
Chris Sherlaw-Johnson, Senior Research Analyst at the Nuffield Trust, introduced the Monitoring quality of care conference and gives an overview of some of the approaches that we've been using at the Trust to identify where care quality has been improving, especially for frail and older people.
Providing actionable healthcare analytics at scale: Insights from the Nationa...Nuffield Trust
Christopher Boulton, Falls and Fragility Fracture Audit Programme Manager at the Royal College of Physicians and Rob Wakeman, Clinical Lead for Orthopaedic Surgery at the National Hip Fracture Database talk about what they have learned by analysing the national hip fracture database.
Providing actionable healthcare analytics at scale: A perspective from stroke...Nuffield Trust
Benjamin Bray, Research Director and the Sentinel Stroke National Audit Programme, presents at the Monitoring quality of care conference about stroke care analytics.
New Models of General Practice: Practical and policy lessonsNuffield Trust
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
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