Open Access. Powered by Scholars. Published by Universities.®

Insurance Commons

Open Access. Powered by Scholars. Published by Universities.®

Selected Works

Discipline
Institution
Keyword
Publication Year
Publication
File Type

Articles 1 - 30 of 85

Full-Text Articles in Insurance

The Implementation Process For Pharmacogenomic Testing For Cancer-Targeted Therapies, Ann Chen Wu, Kathleen M. Mazor, Rachel Ceccarelli, Stephanie Loomer, Christine Y. Lu Dec 2018

The Implementation Process For Pharmacogenomic Testing For Cancer-Targeted Therapies, Ann Chen Wu, Kathleen M. Mazor, Rachel Ceccarelli, Stephanie Loomer, Christine Y. Lu

Kathleen M. Mazor

Recent advances in genomic medicine have led to the availability of genomic tests that have the potential to improve population health, yet the process for obtaining these tests and getting them reimbursed by insurers has not been described. The objective of this study was to describe the process of ordering pharmacogenomic tests by interviewing providers, patients, and laboratories about cancer-related pharmacogenomic tests. We interviewed patients who were prescribed, providers who prescribed medications that should be guided by pharmacogenomic testing, and individuals from diagnostic laboratories. A total of 10 providers, 16 patients, and eight diagnostic laboratories described logistical and insurance issues ...


Insurance Coverage Policies For Pharmacogenomic And Multi-Gene Testing For Cancer, Christine Y. Lu, Stephanie Loomer, Rachel Ceccarelli, Kathleen M. Mazor, James Sabin, Ellen Wright Clayton, Geoffrey S. Ginsburg, Ann Chen Wu Jul 2018

Insurance Coverage Policies For Pharmacogenomic And Multi-Gene Testing For Cancer, Christine Y. Lu, Stephanie Loomer, Rachel Ceccarelli, Kathleen M. Mazor, James Sabin, Ellen Wright Clayton, Geoffrey S. Ginsburg, Ann Chen Wu

Kathleen M. Mazor

Insurance coverage policies are a major determinant of patient access to genomic tests. The objective of this study was to examine differences in coverage policies for guideline-recommended pharmacogenomic tests that inform cancer treatment. We analyzed coverage policies from eight Medicare contractors and 10 private payers for 23 biomarkers (e.g., HER2 and EGFR) and multi-gene tests. We extracted policy coverage and criteria, prior authorization requirements, and an evidence basis for coverage. We reviewed professional society guidelines and their recommendations for use of pharmacogenomic tests. Coverage for KRAS, EGFR, and BRAF tests were common across Medicare contractors and private payers, but ...


A Discussion Of Social Protection And Private Insurance, Gary S. Fields Jun 2017

A Discussion Of Social Protection And Private Insurance, Gary S. Fields

Gary S Fields

[Excerpt] This is a thoughtful and thought-provoking paper, informative and interesting. I learned a lot from reading this and have already passed it on to others. In my comments, I would like to do four things: highlight the major points and the rationale for them, raise a few quibbles, put forth some additional issues, and propose a possible resolution of a dilemma raised in the paper. But let us first try to be clear about what we are talking about. Professor Pestieau characterizes social insurance as being mandatory, universal, and redistributive. I would define it slightly differently: “Social insurance is ...


Medicare And The Aca: Shifting The Paradigm Of Fraud Detection, David P. Paul Iii, Sarah Clemente, Ronald Mcgrady, Rob Repass, Alberto Coustasse Nov 2016

Medicare And The Aca: Shifting The Paradigm Of Fraud Detection, David P. Paul Iii, Sarah Clemente, Ronald Mcgrady, Rob Repass, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

Medicare fraud and abuse costs are estimated at 3%-10% of overall Medicare spending, which is expected to expand considerably until 2024 and as such the amount of fraud dollars would be expected to increase proportionally. The purpose of this research was to determine how recent reforms, especially the Patient Protection and Accountable Care Act, may affect Medicare fraud and abuse and to uncover the best strategies to combat Medicare fraud. The breadth of fraud and abuse within Medicare as well as recent reforms to fight fraud including legislative reforms, delivery system reforms, and other reforms including the formation of ...


Flood Damaged Crops, Crop Insurance Payments And Lease Contracts, William M. Edwards Jul 2016

Flood Damaged Crops, Crop Insurance Payments And Lease Contracts, William M. Edwards

William Edwards

Some Iowa corn and soybean producers are facing substantial if not complete crop losses due to flooding. In particular, many acres of crops in the Missouri River Valley have been under water for a month or more this year. Fortunately, nearly 90 percent of Iowa’s corn and soybean acres are protected by multiple peril crop insurance.


Insurance Coverage For Drought-Damaged Crops, William M. Edwards Jul 2016

Insurance Coverage For Drought-Damaged Crops, William M. Edwards

William Edwards

Nearly 90 percent of the corn and soybean acres in Iowa are covered by multiple peril crop insurance. Drought damage is an insurable loss under these policies. Producers should consult with their crop insurance agents before harvesting or destroying any drought-damaged crops, however.


Important Crop Insurance Dates, William M. Edwards Jul 2016

Important Crop Insurance Dates, William M. Edwards

William Edwards

Even the best crop insurance plan is of little use if the right information is not collected and submitted on time. Likewise, if certain actions are not completed by the necessary date, producers may not receive full benefit from the risk protection that they have selected.


Insurance Coverage For Drought-Damaged Crops, William M. Edwards Jul 2016

Insurance Coverage For Drought-Damaged Crops, William M. Edwards

William Edwards

Nearly 90 percent of the corn and soybean acres in Iowa are covered by multiple peril crop insurance. Drought damage is an insurable loss under these policies. Producers should consult with their crop insurance agents before harvesting or destroying any drought-damaged crops, however.


Flood Damaged Crops, Crop Insurance Payments And Lease Contracts, William M. Edwards Jul 2016

Flood Damaged Crops, Crop Insurance Payments And Lease Contracts, William M. Edwards

William Edwards

Some Iowa corn and soybean producers are facing substantial if not complete crop losses due to flooding. In particular, many acres of crops in the Missouri River Valley have been under water for a month or more this year. Fortunately, nearly 90 percent of Iowa’s corn and soybean acres are protected by multiple peril crop insurance.


Important Crop Insurance Dates, William M. Edwards Jul 2016

Important Crop Insurance Dates, William M. Edwards

William Edwards

Even the best crop insurance plan is of little use if the right information is not collected and submitted on time. Likewise, if certain actions are not completed by the necessary date, producers may not receive full benefit from the risk protection that they have selected.


Early Planted Acres May Lose Replant Insurance, William M. Edwards Jul 2016

Early Planted Acres May Lose Replant Insurance, William M. Edwards

William Edwards

Unusually warm and dry weather has allowed crop producers to start spring field work earlier than can be remembered by most people. Getting an early start on tillage and planting reduces the risk of getting behind schedule later if an extended period of rainy weather occurs, but it also has its risks. The Risk Management Agency (USDA) has some specific rules about early planted crops with regard to crop insurance coverage. For each insurable crop RMA has set an “early planting date.” The earliest planting dates allowed for counties in the state of Iowa are April 11 for corn and ...


Insurance Coverage For Drought-Damaged Crops, William M. Edwards Jul 2016

Insurance Coverage For Drought-Damaged Crops, William M. Edwards

William Edwards

Nearly 90 percent of the corn and soybean acres in Iowa are covered by multiple peril crop insurance. Drought damage is an insurable loss under these policies. Producers should consult with their crop insurance agents before harvesting or destroying any drought-damaged crops, however.


Flood Damaged Crops, Crop Insurance Payments And Lease Contracts, William M. Edwards Jul 2016

Flood Damaged Crops, Crop Insurance Payments And Lease Contracts, William M. Edwards

William Edwards

Some Iowa corn and soybean producers are facing substantial if not complete crop losses due to flooding. In particular, many acres of crops in the Missouri River Valley have been under water for a month or more this year. Fortunately, nearly 90 percent of Iowa’s corn and soybean acres are protected by multiple peril crop insurance.


Important Crop Insurance Dates, William M. Edwards Jul 2016

Important Crop Insurance Dates, William M. Edwards

William Edwards

Even the best crop insurance plan is of little use if the right information is not collected and submitted on time. Likewise, if certain actions are not completed by the necessary date, producers may not receive full benefit from the risk protection that they have selected.


Flood Damaged Crops, Crop Insurance Payments And Lease Contracts, William M. Edwards Jul 2016

Flood Damaged Crops, Crop Insurance Payments And Lease Contracts, William M. Edwards

William Edwards

Some Iowa corn and soybean producers are facing substantial if not complete crop losses due to flooding. In particular, many acres of crops in the Missouri River Valley have been under water for a month or more this year. Fortunately, nearly 90 percent of Iowa’s corn and soybean acres are protected by multiple peril crop insurance.


Insurance Coverage For Drought-Damaged Crops, William M. Edwards Jul 2016

Insurance Coverage For Drought-Damaged Crops, William M. Edwards

William Edwards

Nearly 90 percent of the corn and soybean acres in Iowa are covered by multiple peril crop insurance. Drought damage is an insurable loss under these policies. Producers should consult with their crop insurance agents before harvesting or destroying any drought-damaged crops, however.


Insurance Coverage For Drought-Damaged Crops, William M. Edwards Jul 2016

Insurance Coverage For Drought-Damaged Crops, William M. Edwards

William Edwards

Nearly 90 percent of the corn and soybean acres in Iowa are covered by multiple peril crop insurance. Drought damage is an insurable loss under these policies. Producers should consult with their crop insurance agents before harvesting or destroying any drought-damaged crops, however.


Flood Damaged Crops, Crop Insurance Payments And Lease Contracts, William M. Edwards Jul 2016

Flood Damaged Crops, Crop Insurance Payments And Lease Contracts, William M. Edwards

William Edwards

Some Iowa corn and soybean producers are facing substantial if not complete crop losses due to flooding. In particular, many acres of crops in the Missouri River Valley have been under water for a month or more this year. Fortunately, nearly 90 percent of Iowa’s corn and soybean acres are protected by multiple peril crop insurance.


Early Planted Acres May Lose Replant Insurance, William M. Edwards Jul 2016

Early Planted Acres May Lose Replant Insurance, William M. Edwards

William Edwards

Unusually warm and dry weather has allowed crop producers to start spring field work earlier than can be remembered by most people. Getting an early start on tillage and planting reduces the risk of getting behind schedule later if an extended period of rainy weather occurs, but it also has its risks. The Risk Management Agency (USDA) has some specific rules about early planted crops with regard to crop insurance coverage. For each insurable crop RMA has set an “early planting date.” The earliest planting dates allowed for counties in the state of Iowa are April 11 for corn and ...


Swot Matrix For London Market Group, Steven Slezak May 2015

Swot Matrix For London Market Group, Steven Slezak

Steven Slezak

No abstract provided.


Unit Link Terbaik Di Indonesia Commonwealth Life Investra Link, Eyondd Wae Lee Eyondd Apr 2014

Unit Link Terbaik Di Indonesia Commonwealth Life Investra Link, Eyondd Wae Lee Eyondd

eyondd wae lee eyondd

Unit Link Terbaik di Indonesia Commonwealth Life investra Link adalah produk asuransi jiwa yang bersifat hibrida. Sebab, memberikan dua manfaat sekaligus, yakni manfaat perlindungan santunan asuransi jiwa dan manfaat investasi dalam bentuk nilai tunai. Adapun manfaat asuransi yang terkandung dalam unit link tidak berbeda dengan proteksi yang diberikan jenis asuransi jiwa tradisioanal, yakni manfaat meninggal dunia, manfaat santunan kesehatan, dan manfaat lainnya sesuai program yang dipilih. Yang istimewa, unit link memberikan manfaat hasil investasi dari premi yang ditempatkan pada dana investasi yang dinyatakan dalam unit, kinerja imbal hasilnya tergantung pada kinerja subdana investasi unit link yang dipilih nasabah sesuai dengan ...


Asuransi, Pengertian Dan Jenisnya, Wong Sugih Feb 2014

Asuransi, Pengertian Dan Jenisnya, Wong Sugih

Wong Sugih

Membahas asuransi terutama unit links yang selengkapnya dapat di baca di http://geloraproletarian.web.id/2014/03/08/unit-link-terbaik-di-indonesia-commonwealth-life-investra-link.html.


Unit Link Terbaik, Ada Ada Ada Feb 2014

Unit Link Terbaik, Ada Ada Ada

ada ada ada

unit link


Open Innovation And Crowdsourcing Communities Design: A Cross Case Analysis, Francesca Cabiddu Jan 2013

Open Innovation And Crowdsourcing Communities Design: A Cross Case Analysis, Francesca Cabiddu

Francesca Cabiddu

No abstract provided.


Measuring Quality In Diabetes Care: An Expert-Based Statistical Approach, Dimitris Bertsimas, David Czerwinski, Michael Kane Dec 2012

Measuring Quality In Diabetes Care: An Expert-Based Statistical Approach, Dimitris Bertsimas, David Czerwinski, Michael Kane

David Czerwinski

We present a methodology for using health insurance claims data to monitor quality of care. The method uses a statistical model trained on the quality ratings of a medical expert. In a pilot study, the expert rated the quality of care received over the course of two years by 101 diabetes patients. A logistic regression model accurately identified the quality of care for 86% of the patients. Because the model uses data derived from patients’ health insurance claims it can be used to monitor the care being received by a large patient population. One important use of the model is ...


External Knowledge, Territorial Inertia And Local Development: An Exploratory Case Study, Francesca Cabiddu, Daniela Pettinao Sep 2012

External Knowledge, Territorial Inertia And Local Development: An Exploratory Case Study, Francesca Cabiddu, Daniela Pettinao

Francesca Cabiddu

This study examines the relationship between an entrepreneur’s absorptive capacity, the spiral of knowledge and local development. Although a great number of theoretical and empirical studies have pointed out the importance of local networking and informal contacts when spreading knowledge locally, very few of them provide robust evidence on the role of the entrepreneur’s absorptive capacity and external knowledge in local development. This paper tries to explain the reasons why this problem can no longer be ignored and provides a preliminary examination, through an exploratory case study, of the role that the entrepreneur’s absorptive capacity and external ...


Mortgage Securitization 666: The Crime That Took Place - Jpmorgan Chase And Its Wamu Customers, Symphony Music Sep 2012

Mortgage Securitization 666: The Crime That Took Place - Jpmorgan Chase And Its Wamu Customers, Symphony Music

Symphony Music

This description of the crime that Chase participates in as it proceeds with its foreclosure activities is necessary because the banking industry is misleading the judicial system about important financial aspects of today’s home loan mortgages. This is an initial attempt to describe the crime, including references to La Cosa Nostra and the crime families.


Legal Barriers To Implementing International Providers Into Medical Provider Networks For Workers' Compensation, Richard Krasner Aug 2012

Legal Barriers To Implementing International Providers Into Medical Provider Networks For Workers' Compensation, Richard Krasner

Richard Krasner

Over the last twenty years, medical costs associated with lost time workers’ compensation claims has risen dramatically, despite efforts to reform the system. Medical tourism, a popular option for many seeking lower cost health care, is one option that has yet to catch on. Issues of quality of health care in other countries is no different for workers’ compensation patients, as it is for health care patients, and with accreditation from the Joint Commission International (JCI), hospitals that cater to medical tourists offer better care at lower cost than most U.S. hospitals offer. Certain procedures, common to workers’ compensation ...


Slideshow: Bank Monopoly Power In The Usa, Symphony Music Jun 2012

Slideshow: Bank Monopoly Power In The Usa, Symphony Music

Symphony Music

Slideshow about US bank monopoly power. A distilled history of banking evolution to what it is today and the shift away from the Public Trust. Includes the bank's tactical response strategy.


Slideshow: Participants In A Securitization, Symphony Music Jun 2012

Slideshow: Participants In A Securitization, Symphony Music

Symphony Music

Presentation outlining the roles of Securitization participants and the banking "front" that undermines regulations and creates the fraud.