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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
  • Measuring DM Program Outcomes: The Use of Incident and Prevalent Populations
    Measuring DM Program Outcomes: The Use of Incident and Prevalent Populations Separating incident and ... populations is useful, but the use of a cohort to make an RTM adjustment is unwarranted in the population-based ...

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    • Authors: Michael Cousins, Ying Liu
    • Date: Jun 2005
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care
  • Seasonal Flu Impacts: Flu Science Meets Actuarial Science
    Science Meets Actuarial Science By Bethany McAleer The seasonal flu comes every year with very broad (and ... implications. As individuals, our interest in the flu is focused on making sure we’re following recommendations ...

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    • Authors: Bethany McAleer
    • Date: Oct 2018
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Health Maintenance Organization -HMO- Pricing Techniques.
    development of medical cost estimates, differences between indemnity and HMO techniques, relationship of premiums ... and community rating by class. From Record of the Society of Actuaries 1987 Vol. 13, No. 1. Health maintenance ...

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    • Authors: David W Krueger, David Ogden, Harvey Sobel, James B Little
    • Date: Apr 1987
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health care
  • 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
  • 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
  • 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