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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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The Application of Data Blending to Resolve Unrelated Dimensions: A Tableau Use-Case for Calculating Per Member Per Year
most granular level of detail in the Membership table is medical record number (Medicare beneficiary identifier ... This equation uses “dot notation” to identify the table being referenced. Normally this is only applied ...
- Date: May 2023
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Technology & Applications; Technology & Applications>Business intelligence; Technology & Applications>Computer science; Experience Studies & Data>Rate calculations; Experience Studies & Data>Table construction; Technology & Applications>Visualization
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Soundbites from the American Academy of Actuaries’ Health Practice Council
Soundbites from the American Academy of Actuaries’ Health Practice Council Report ... work groups. Consumer-driven health plans=CDHP;Individual health plans;Medicare supplement;Risk-based capital=RBC; ...- Authors: Heather E Jerbi, Melissa Lawler
- Date: May 2009
- Competency: External Forces & Industry Knowledge; Leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Economics>Health economics; Enterprise Risk Management>Risk measurement - ERM; Experience Studies & Data; Financial Reporting & Accounting; Health & Disability>Health care quality; Long-term Care; Public Policy
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Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment”
liability associated with each enrollee. A change in individual market regulatory dynamics occurred in October ... shouldn’t be looking at the risk level of that individual consumer signing up for coverage. You should ...
- Authors: Greg Fann
- Date: Jun 2022
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Health & Disability>Health care
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Using the Internet as a Pricing Tool
(http://www.nlm.nih.gov/ medlineplus) provides a table of links to many such organizations. If you need ... prevalence and cost data may be found on consumer, individual provider, provider organizations and disease ...- Authors: Application Administrator
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Technology & Applications
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Cost and Benefit Trends Observed in Jan. 1, 2011 Renewals for State Employers
those trends. The premium trends in the following table are based on the total premiums as reported by ... premium increase for 2011 of 5.2%. Premiums for individual carriers increased in a range from 2% to 11% ...- Authors: Robert Gordon Cosway, Barbara Dewey
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Internal forces and business performance; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data; Technology & Applications>Analytics and informatics
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Assessing Prescription Opioid Risk with Predictive Analytics
is critical, not only for the health of the individual and their family, but also because of the increased ... approach combines the prediction from hundreds of individual decision trees to come to a final consolidated ...- 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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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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To Err is Human, To Estimate is Actuarial
To Err is Human, To Estimate is Actuarial Realizing the impact of medical errors on the U.S. health ... of the frequency and cost estimate for each individual type of error. The report can be found in the ...- Authors: Steven Siegel
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Academic partnerships; Economics>Health economics; Experience Studies & Data; Modeling & Statistical Methods>Data mining
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Soundbites from the American Academy of Actuaries’ Health Practice Council
Soundbites from the American Academy of Actuaries’ Health Practice Council Updates on the efforts ... Academy/SOA task force to develop and recommend valuation morbidity tables for long-term care insurance ...- Authors: Heather E Jerbi, Tim M Mahony
- Date: May 2010
- Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Influence; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Experience Studies & Data; Public Policy; Public Policy; Social Insurance>Medicare