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  • The Bottom Line on BehavioralHealth Care Costs
    The Bottom Line on BehavioralHealth Care Costs This article reviews the cost of behavioral health care ... care and looks at how the involvement of Primary Care Physicians leads to a less efficient and effective ...

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    • Authors: Stephen P Melek
    • Date: Mar 2005
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • What’s New on the RxManagement Horizon?
    New on the RxManagement Horizon? Health Section News, August 2005, Issue 50 which discusses the effective ... management of prescription drug utilization and coverage that continue to represent one of the biggest challenges ...

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    • Authors: JEFF ALLAN SCHULTE
    • Date: Aug 2005
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Calibrating Risk Score Model with Partial Credibility
    Calibrating Risk Score Model with Partial Credibility by Shea Parkes and Brad Armstrong Learn how ... modeling;Credibility theory;Statistical methods;Health Insurance;Risk modeling;Regression analysis by Shea Parkes and ...
    • 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
  • Validating a Novel Health Insurance Fraud Detection Method
    detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for fraud detection ... detection in Medicare. Enterprise Risk Management = ERM;Own Risk Solvency Assessment = ORSA; Health care ...

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    • Authors: Robert D Lieberthal, Elias
    • Date: Aug 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; 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: Risk Management
    • Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
  • Statistical Tools for Actuaries?First in New Series of Guides Available
    Series of Guides Available Recognizing an opportunity to help serve its members in this age of increased ... oversight, the Health Section of the Society of Actuaries commissioned a series of guides on the use of statistical ...

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    • Authors: Steven Siegel
    • Date: Jan 2008
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • SOA Releases New Long-Term Health Care Cost Trends Resource Model
    SOA Releases New Long-Term Health Care Cost Trends Resource Model SOA’s Pension and Health Sections ... model for projecting health care trends through the year 2099. Assumptions; 9477 5/1/2008 12:00:00 ...

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    • Authors: Steven Siegel
    • Date: May 2008
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • New SOA Material Addresses Hot Health Topics
    New SOA Material Addresses Hot Health Topics Article presents new course readings ... health topics that will expand actuarial expertise in the Health Systems practice area. Group health plans;Long-term ...

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    • Authors: Richard S Bilisoly
    • Date: Jun 1993
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health care; Long-term Care
  • Health Section Issues New IBNR Study
    Study Summary of the health section council’s research project to assess the accuracy of commonly used ... used IBNR estimation methods over a wide range of scenarios. Estimation methods;Health reserves;Stochastic ...

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    • Authors: Steven Siegel, Cabe Chadick
    • Date: Feb 2010
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Standards of practice; Financial Reporting & Accounting; Health & Disability>Health care; Modeling & Statistical Methods>Modeling efficiency
  • Chairperson's Corner
    Chairperson's Corner Recap of Health Section's 2014 events and member survey. ... Chairperson's Corner Recap of Health Section's 2014 events and member survey. Health economics ...

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    • Authors: Donna Kalin
    • Date: Jan 2014
    • Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Calibrating Risk Score Model with Partial Credibility
    Calibrating Risk Score Model with Partial Credibility This article describes a method that can be useful ... useful when re-fitting a risk score model to a population of only moderate size. Learn how to use concepts ...

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    • Authors: Sheamus Parkes, Bradley Armstrong
    • Date: Jul 2015
    • Competency: 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: Predictive Analytics and Futurism Newsletter
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Modeling & Statistical Methods>Bayesian methods; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods; Modeling & Statistical Methods>Regression analysis; Predictive Analytics