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Health Valuation Actuary Toolbox
Health Valuation Actuary Toolbox This session discussion is about tools, techniques, and methods used ... health valuation actuary HVA in dealing with business projections, cash-flow analysis, valuation on nonguaranteed ...- Authors: Edgar Goral, Application Administrator, Julia T Philips, James N Roberts, Jerome Winkelstein
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Best practices; Finance & Investments>Investment policy; Finance & Investments>Investment strategy - Finance & Investments; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Disability insurance; Health & Disability>Health insurance
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Critical Illness Turns 40!
typically on an individual product chassis Worksite-sold policies offered on an individual chassis Worksite-sold ... group versus individual chassis and where the policies are sold. Agent-Sold Individual Policies Agent-sold ...- Authors: Jennifer Howard, Ashlee Borcan
- Date: Sep 2023
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Experience Studies & Data>Morbidity; Health & Disability; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Experience Studies & Data>Rate calculations; Health & Disability>Incidence; Health & Disability>Rates - Health & Disability; Health & Disability>Termination - Health & Disability
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Medicare Supplement and FASB’s Long-Duration Targeted Improvements Project Part II: Conclusions
have simply not been part of the benefit reserve valuation process. Some insurers might wonder: Can we construct ... going through all the work to build a robust LDTI valuation model? Unfortunately, the integration under LDTI ...- Authors: Rowen Bell
- Date: Aug 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Generally Accepted Accounting Principles [GAAP]; Health & Disability; Health & Disability>Health insurance
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Issue Brief: Changing Financial Risks for Medigap Insurance, Part 1
their physicians and/or to require hospital stays (Table 1) in 2020 and 2021. However, two recent studies[1] ... to avoid COVID-19 exposure during the pandemic. Table 1 2020 Estimated COVID-19 Hospitalizations per 100 ...- Authors: Kristi Bohn
- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance
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Medicare Supplement and FASB’s Long-Duration Targeted Improvements Project Part I: Context
insurance products such as long-term care (LTC), individual disability income (IDI) and critical illness ... generally an increasing relationship between an individual’s age and their expected claim costs. However ...- Authors: Rowen Bell
- Date: Aug 2021
- Competency: External Forces & Industry Knowledge
- Topics: Financial Reporting & Accounting; Financial Reporting & Accounting>Generally Accepted Accounting Principles [GAAP]; Health & Disability; Health & Disability>Health insurance
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A Summary of the Updated Medical Loss Ratio Methodology and Historical Results
sold or administered. On the commercial side, Individual and Small Group policies have a minimum Medical ... to the membership-based credibility factor. The table below shows the current enrollment and deductible ...- Authors: Society of Actuaries
- Date: Dec 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA)
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The Potential of Infra-Low Frequency Neurofeedback to Reduce Medical Claim Costs and Dramatically Improve Patients’ Lives
in Symptoms for Adults, Seniors and Children The table in Figure 8 is a summary of filtering for each of ... and opinions expressed herein are those of the individual authors and are not necessarily those of the ...- Date: Jul 2023
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance
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Better Care Through Understanding the Customer Not Just the Patient
data points are closest to other “like” members. Table 1 is an example of the resulting grouping for six ... representing the lowest and dark green the highest. Table 1 Member Retention Cluster Analysis * Normalized ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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New Contract Medicare Star Ratings: Why The Sudden Cliff?
enrollment required for a contract to receive an individual measure Star Rating depends on the specific ... between 500 and 1,000 members will receive enough individual measure Star Ratings to earn an overall Star ...- Authors: Suzanna-Grace Sayre, Danielle Beierle
- Date: Jan 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
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Using Interpretable Machine Learning Methods: An Application to Health Insurance Fraud Detection
.................................. 33 5.2.1 Individual Conditional Expectation (ICE) .............. ... Within this category, we've employed three models: Individual Conditional Expectation (ICE) plots, SHAP, and ...- Date: Jan 2024
- Topics: Health & Disability; Health & Disability>Health insurance; Technology & Applications; Technology & Applications>Artificial intelligence & machine learning