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Shifting Focus: Financial Management to Patient Management to Patient Management
This discussion looks at redirecting the traditional role of the actuary into new areas such as working ... dealing and negotiating with providers and how to help the company develop a provider payment strategy. Employers ...- Authors: Joyce Li, David Terry, Philip Turner, Randall S Vollertsen
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Validating a Novel Health Insurance Fraud Detection Method
detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for fraud detection ... detection in Medicare. Enterprise Risk Management = ERM;Own Risk Solvency Assessment = ORSA; Health care ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Risk Management
- Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
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EXPOSED! Variable Annuity Stochastic Requirements
Requirements discussion of the ongoing developments in reserving and risk-based capital RBC requirements ... benefits=GMDB;National Association of Insurance Commissioners=NAIC;Risk-based capital=RBC;Scenario generation=Scenario ...- Authors: James W Lamson
- Date: May 2004
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: The Financial Reporter
- Topics: Annuities>Reserves - Annuities; Annuities>Variable annuities; Financial Reporting & Accounting>Statutory accounting; Modeling & Statistical Methods>Stochastic models; Public Policy
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Actuarial Modeling Systems: How Open We WANT Them to be vs. How Closed We NEED Them to be
to be Comparison of open code and closed code actuarial modeling systems, focusing on advantages and disadvantages ... disadvantages of each group. Modeling;Model conversion;Model validation;Software implementation;Open ...- Authors: Alexander Zaidlin, James Christou, Ravi Bhagat
- Date: Nov 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: The Modeling Platform
- Topics: Modeling & Statistical Methods>Modeling efficiency; Technology & Applications>Software
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Assessing Prescription Opioid Risk with Predictive Analytics
Assessing Prescription Opioid Risk with Predictive Analytics We highlight a new approach leveraging ... leveraging predictive analytics to identify high risk and rising risk opioid users for more effective screening ...- Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
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1952 Report on Ordinary Disability Benefits
Report on Ordinary Disability Benefits This discussion looks at: what period or combination of periods ... purposes, if the practice of applying the rate of disability to mixed lives in the construction of monetary ...- Authors: Society of Actuaries, J Clunas McKibbon, JAMES TIMOTHY PHILLIPS, Louis Levinson, B. T. Holmes, Leonard H McVity, Joseph A. Christman, William H. Kelton, James H Braddock
- Date: Oct 1953
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Disability tables
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Ask The Experts
Ask The Experts From a session at the 2001 Valuation Actuary Symposium, held in Lake Buena Vista, Florida ... to actuaries who are experts in the field of actuarial valuation of insurance company assets and liabilities ...- Authors: Frank M Amrine, Andrew Bodine, Armand de Palo, Mark Freedman, Charles D Friedstat, James P Greaton, Meredith Ratajczak, William J Schreiner, Stephen N Steinig
- Date: Nov 2001
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Actuarial Profession>Standards of practice; Financial Reporting & Accounting>Generally Accepted Accounting Principles [GAAP]; Financial Reporting & Accounting>Statutory accounting; Financial Reporting & Accounting>Tax accounting; Public Policy
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Predictive Modeling Techniques Applied to Quantifying Mortality Risk
Techniques Applied to Quantifying Mortality Risk Using the Cox proportional Hazards Model to improve underwriting ... underwriting debits and credits. Mortality risk;Longevity risk;Life expectancy;Life insurance 6442470437 ...- Authors: Vincent Granieri
- Date: Jul 2016
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Experience Studies & Data>Mortality; Life Insurance>Underwriting - Life Insurance; Predictive Analytics
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A Review of Current Long-Term-Care Insurance Studies
A Review of Current Long-Term-Care Insurance Studies Panelists discuss the results of the SOA's ... with long-term-care insurance. From the Record of the Society of Actuaries, Vol. 25, No. 2. Alzheimer's ...- Authors: Gary L Corliss, Mark Newton, Patricia Fay
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Experience Studies & Data>Long-term care - Experience Studies & Data; Long-term Care>Long-term care insurance; Long-term Care>Long-term care facilities & home care
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Actuarial Models in an IFRS World
Actuarial Models in an IFRS World New International Financial Reporting Standards ... promise to trigger fundamental changes in the role and significance of actuarial models for insurers. International ...- Authors: Trevor Howes
- Date: Apr 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: The Modeling Platform
- Topics: Financial Reporting & Accounting>International Financial Reporting Standards [IFRS]