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Health Organization Risk-Based Capital
Health Organization Risk-Based Capital Presented at September 1995 Valuation Actuary Symposium. ... Discusses the Health Organization Risk-Based Capital formula. Health maintenance organization=HMO ...- Authors: Peter Lynn Perkins, Michael Thompson, William J Thompson, Robert E Wilcox, Donna C Novak
- Date: Sep 1995
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Enterprise Risk Management>Capital management - ERM; Health & Disability>Health insurance
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Shifting Focus: Financial Management to Patient Management to Patient Management
This discussion looks at redirecting the traditional role of the actuary into new areas such as working ... dealing and negotiating with providers and how to help the company develop a provider payment strategy. Employers ...- Authors: Joyce Li, David Terry, Philip Turner, Randall S Vollertsen
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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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 ...- 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