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Calibrating Risk Score Model with Partial Credibility
regression model was the normalized cost of each individual. The outcomes for very high cost individuals ... regression model. For example, one very high-cost individual flagged for a certain condition could singlehandedly ...- Authors: Sheamus Parkes, Brad Armstrong
- Date: Oct 2015
- Competency: Results-Oriented Solutions>Actionable recommendations; 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: Expanding Horizons
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Bayesian methods; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods; Predictive Analytics
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Health Watch, February 2018, Issue 85
Dean Ratzla 22 A Simple Proposal to Save the Individual ACA Market By Joe Slater and John J. Culkin ... Meeting Coordinators Ashlee Borcan, FSA, MAAA 2018 Valuation Actuary Symposium Coordinator Karen Shelton, ...- Authors: Society of Actuaries
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch, March 2017, Issue 82
Interview With Kurt Wrobel 28 The Evolution of the Individual Market (Part I) By Greg Fann 36 Republican Health ... Committee Coordinators Ashlee Borcan, FSA, MAAA 2017 Valuation Actuary Symposium Coordinator Jennifer Gerstorff ...- Authors: Society of Actuaries
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Review: “Health Insurance for ‘Humans’: Information Friction
NOVEMBER 2016 HEALTH WATCH | 29 expenses each individual and family would incur in the enroll- ment year ... distribution of costs to mitigate risks unique to individual attributes, especially those risks with long ...- Authors: Christopher Coulter, Kathleen Dobrzynski, Tyler Engel, Dorothy Andrews
- Date: Nov 2016
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics; Economics>Health economics; Health & Disability>Health care
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Health Watch, October 2017, Issue 84
Committee Coordinators Ashlee Borcan, FSA, MAAA 2017 Valuation Actuary Symposium Coordinator Jennifer Gerstorff ... opinions expressed herein are those of the individual authors and are not neces- sarily those of the ...- Authors: Society of Actuaries
- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability
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Health Watch, October 2018, Issue 87
Meeting Coordinators Ashlee Borcan, FSA, MAAA 2018 Valuation Actuary Symposium Coordinator Karen Shelton, ... opinions expressed herein are those of the individual authors and are not neces- sarily those of the ...- Authors: Society of Actuaries
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch, June 2018, Issue 86
Meeting Coordinators Ashlee Borcan, FSA, MAAA 2018 Valuation Actuary Symposium Coordinator Karen Shelton, ... opinions expressed herein are those of the individual authors and are not neces- sarily those of the ...- Authors: Society of Actuaries
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Integrating Claims-Based and Survey-Based Data to Estimate Program Savings
and to make them more data- and evidence-based. Table 1 lists the recorded survey variables. Surveys ... with a means of estimation for other programs. Table 1 Survey Variables Variable Description A Achieved ...- Authors: Andrew Mackenzie, Ian G Duncan
- Date: Oct 2017
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Estimation methods; Modeling & Statistical Methods>Regression analysis
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Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
we exceed the tar- get. For example, as shown in Table 1, the hospital provider partner can exercise a ... program produced by the adverse impacts of an individual catastrophic claim on the incentive pool. In ...- Authors: Edward Cymerys
- Date: May 2013
- Competency: Relationship Management>Relationships and trust; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Payment models
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Health Watch, June 2017, Issue 83
Committee Coordinators Ashlee Borcan, FSA, MAAA 2017 Valuation Actuary Symposium Coordinator Jennifer Gerstorff ... opinions expressed herein are those of the individual authors and are not neces- sarily those of the ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability