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Accuracy of Claims-Based Risk Scoring Models
Accuracy ... 3 © 2016 Society of Actuaries TABLE OF CONTENTS Section 1: Acknowledgements ..... ... Affordable Care Act’s reforms. Specifically, all individual and small group health insurance plans (both ...- Authors: Geoffrey Hileman, Spenser Steele
- Date: Oct 2016
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks
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Modeling Effects of Enrollee Choice
health insurance marketplace is centered around individual choice, specifically regarding plan parameters ... anticipated health care needs. For example, an individual with high anticipated brand pharmacy needs will ...- Authors: Geoffrey Hileman
- Date: Jan 2021
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability
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Analysis of Long-Term Care Insurance Experience for Insureds by Diagnosis at Issue
Analysis of Long-Term Care Insurance Experience ... TABLE OF CONTENTS I. INTRODUCTION............. ... presence of a mobility limitation were the only individual characteristic used to sort people into risk ...- Authors: John C Wilkin, Jim Genuardi, Geoffrey Hileman
- Date: Oct 2007
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Actuarial Practice Forum
- Topics: Experience Studies & Data>Long-term care - Experience Studies & Data; Long-term Care>Long-term care insurance; Long-term Care>Medical expenses
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A Comparison of Risk Scoring Recalibration Methods
regression gives the expected error for each individual and can be added to the originally-predicted ... four sets of predicted values, shown below in Table 1. Original Weights Full Recali- bration 2007 ...- Authors: Geoffrey Hileman
- Date: Dec 2015
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Modeling & Statistical Methods>Regression analysis
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Risk Scoring in Health Insurance: A Primer
Copyright © 2016 Society of Actuaries TABLE OF CONTENTS Acknowledgments ................. ... goals from the consumer’s perspective: (1) an individual mandate that introduced a financial penalty for ...- Authors: Geoffrey Hileman, Syed Mehmud, Marjorie Rosenberg
- Date: Jul 2016
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks
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A Nearest Neighbor Approach to Risk Adjustment
those people that most closely resembled the individual whose cost we were try- ing to predict:the people ... the subset of the data most relevant to the individual of interest, and therefore the subset most likely ...- Authors: Geoffrey Hileman
- Date: Dec 2014
- Publication Name: Predictive Analytics and Futurism Newsletter
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Podcasts—A Drill You Can Enjoy!
Podcasts—A Drill You Can Enjoy! A discussion on podcasts relative to the Predictive Analytics ... you will find a list of podcasts created by individual sections and by the SOA generally. As with podcasts ...- Authors: Geoffrey Hileman
- Date: Jun 2017
- Publication Name: Predictive Analytics and Futurism Newsletter