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  • Modeling the Cost of Medical Care for the Elderly
    Modeling the Cost of Medical Care for the Elderly An excerpt from a presentation at the 2014 Living ... more than $13 trillion by 2055, about 50 percent of total medical expenditures. Model validation;Modeling ...

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    • Authors: Thomas Getzen
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Long-term Care>Medical expenses; Modeling & Statistical Methods>Estimation methods
  • The Challenges of Accurately Repricing Pharmacy Benefit Manager Claims
    The Challenges of Accurately Repricing Pharmacy Benefit Manager Claims A guide to the protocols and ... comparison when using an historical claims repricing in the PBM RFP process. prescription drug costs;model validation;claims ...

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    • Authors: John R Adler
    • Date: Jun 2018
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Modeling & Statistical Methods>Estimation methods
  • Integrating Claims-Based and Survey-Based Data to Estimate Program Savings
    Issue 84 42 | OCTOBER 2017 HEALTH WATCH The company serves approximately 2 million people with ... individuals and families navigate the increasingly complex health care system. The objective is to help engaged ...

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    • 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
  • A Practical Method for Incorporating Pended Claims in Medical IBNR Estimates
    are a principal driverof reported financial results of health insurers. These reserves, while not as long ... insurance contracts, can be quite material and the mis-esti- mating of these reserves can add considerable variability ...

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    • Authors: Peter Reilly
    • Date: Apr 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Modeling & Statistical Methods>Estimation methods