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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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Estimates of the Incidence, Prevalence, Duration, Intensity and Cost of Chronic Disability Among the U.S. Elderly
and costs. This was done using multi- state life-table analysis of the 1984, 1989 and 1994 National Long-Term ... without “substantial assistance” from another individual, for at least 90 days due to a loss of functional ...- Authors: P J Stallard
- Date: Feb 2009
- Competency: Communication>Written communication; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Long-Term Care News
- Topics: Actuarial Profession>Professional associations; Demography>Longevity; Experience Studies & Data>Disability; Long-term Care>Medical expenses; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Markov Chain
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Rethinking Family Tiers
average adult costs would suggest. The follow- ing table shows the claims ratios we experienced, where we ... market segments, particularly for Individual products. For Individual, I suspect that family circumstances ...- Authors: Kristi Bohn
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods>Data mining; Technology & Applications>Analytics and informatics
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The Impact of Obesity and Diabetes on LTC Disability and Mortality: Population Estimates from the National Long-Term Care Survey
IADL has a cognitive component such that an individual who could successfully complete all nine without ... without “substantial assis- tance” from another individual, for at least 90 days due to a loss of functional ...- Authors: P J Stallard
- Date: Sep 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Long-Term Care News
- Topics: Experience Studies & Data>Disability; Experience Studies & Data>Mortality; Health & Disability>Chronic health management - Health & Disability; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods
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Bariatric Surgery Holds Promise for Patients and for Payors
vague symptoms rather than underlying causes. Table 1 illustrates the percent- age of morbidly obese ... and Ill-Defined Conditions diagnostic group. Table 1 suggests that claims for ill-defined condi- tions ...- Authors: John Dawson, Pierre-Yves Cremieux, Arindam Ghosh
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining
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Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
Enrollee, Institutional, and ESRD members. • Individual disease states also vary by age/ gender ... group and in- dividual members, we included both individual and employer group members in the analysis.- Authors: Corey Berger, Eric P Goetsch
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics