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Insurers Giving Away The Store With AggregatingSpecific Pricing
Insurers Giving Away The Store With AggregatingSpecific Pricing Adding aggregating specific provisions ...- Authors: Gregory J Sullivan, Matthew Condos
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Reinsurance>Stop-loss insurance
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The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help?
The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help? This article looks ... looks at pharmacy benefit management and the use of data, reviews standard pharmacoeconomic analysis methods ...- Authors: Jonathan L Shreve, Jill Van Den Bos, John Watkins, Kristin Reed
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Recommendations for a Successful ACA Rate Filing
Recommendations for a Successful ACA Rate Filing Summary of common mistakes made by actuaries developing ACA ...- Authors: Joseph Slater
- Date: Nov 2016
- Competency: Communication>Difficult message delivery; Communication>Oral communication; Communication>Persuasive communication; Communication>Written communication; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Health & Disability>Health insurance; Public Policy
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The User Experience
The User Experience How can actuaries tailor their work to a target audience? This article explores ...- Authors: Robert Lang, MICHAEL JOSEPH GILLESPIE, Evan Morgan
- Date: Jun 2017
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices
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Using the Internet as a Pricing Tool
Using the Internet as a Pricing Tool Using the Internet as a Pricing Tool clinical background information ... information, defining the change in coverage, collecting data, data quality and data limitations. Issue No ...- Authors: Application Administrator
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Technology & Applications
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A Practical Method for Incorporating Pended Claims in Medical IBNR Estimates
are a principal driverof reported financial results of health insurers. These reserves, while not as long ... insurance contracts, can be quite material and the mis-esti- mating of these reserves can add considerable variability ...- Authors: Peter Reilly
- Date: Apr 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Modeling & Statistical Methods>Estimation methods
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HCFA & Medicare + Choice: Contract Year 2001 Changes
HCFA & Medicare + Choice: Contract Year 2001 Changes Outline of changes to the Adjust ... Choice: Contract Year 2001 Changes Outline of changes to the Adjust Community Rate ACR Proposal process ...- Authors: Anant Galande
- Date: Aug 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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Predictive Modeling: Considerations for Care Management Applications
Predictive Modeling: Considerations for Care Management Applications Considerations in ... Management Applications Considerations in the applications of Predictive Modeling for health care management ...- Authors: Keith Passwater, Brent Seiler
- Date: Apr 2004
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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APCs - They’ll Change OutpatientHospital Contracting
Contracting Discussion of Medicare's Ambulatory Payment Classification APC system as the standard for reimbursement ... reimbursement of non-capitated outpatient hospital services with sample calculations. Issue No. 37. Payment ...- Authors: Patrick J Dunks, Nickolas Ortner
- Date: Apr 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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Medicare Advantage experience data: pitfalls and concerns beyond ASOP #23
Medicare Advantage experience data: pitfalls and concerns beyond ASOP #23 Medicare Advantage Organizations ... consider influences both internal and external to the adjudication process as they review and use data ...- Authors: Michelle Wahab, Shelby Weber
- Date: Mar 2019
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health information technology; Social Insurance>Medicare; Technology & Applications>Data warehousing