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Better Care Through Understanding the Customer Not Just the Patient
actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical ... small fraction of their time in these facilities. This article explores what types of data are available ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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2021 Life Meeting - Session 2F: LDTI Data - Actuarial and IT Partnership Roundtable 8.30.21 Recording
Implementing the new data and system requirements related to LDTI bring a renewed focus on the partnership ... challenges encountered in the past couple of years of LDTI implementation and propose ways on how to ensure a strong ...- Authors: Society of Actuaries
- Date: Oct 2021
- Competency: Results-Oriented Solutions
- Topics: Health & Disability; Predictive Analytics
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2021 Life Meeting - Session 8A: Use of Electronic Health Records in the Assessment of Life and Health Risks 9.1.21 Recording
towards electronic storage of health records, a huge collection of data on health is now at hand. This ... data science. In this session, the presenters will talk about some of the techniques, applications and ...- Authors: Society of Actuaries
- Date: Sep 2021
- Competency: Strategic Insight and Integration
- Topics: Global Perspectives; Health & Disability; Life Insurance; Predictive Analytics; Public Policy
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2022-long-term-covid-trends
Discover the impact of COVID-19 on member costs post diagnosis and the future of mortality in this Emerging ... During the Health portion of this webcasts, you will learn more about the impact on risk scores due ...- Authors: Society of Actuaries
- Date: Jan 2023
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Topics: Demography; Health & Disability; Life Insurance; Predictive Analytics
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2023-health-virtual-s01c
"Risk adjustment is an important aspect of establishing appropriate capitation rates. When a set of services ... appropriate adjustments for varying levels of underlying risk is more complicated. Dive into analytical ...- Date: Jan 2024
- Competency: Results-Oriented Solutions
- Topics: Health & Disability; Predictive Analytics
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Using Unsupervised Learning Techniques to Identify Structure in Unlabeled Data
Analyzing large quantities of raw complex data is often a challenge in the health care industry. During ... During this webcast, there will be a demonstration of how unsupervised machine learning techniques can be ...- Authors: Ramzi Abujamra
- Date: Aug 2021
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Predictive Analytics; Social Insurance
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2023-health-meeting-session-5b
Much of the work performed by disability insurance actuaries depends on the availability of accurate ... always as simple as it sounds. Explore a variety of data challenges faced by disability actuaries, along ...- Authors: Society of Actuaries
- Date: Jan 2024
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Modeling & Statistical Methods; Predictive Analytics
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
Addressing the Challenge of Volatility in Value-Based Contracts—Part 2 Discover the key components of value-based ... their impact on provider credibility. Learn about benchmarks, measurement period results, and the unique ...- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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2023-health-virtual-s05c
"Risk adjustment (RA) is a key component for CMS Medicare Advantage program and California Medicaid Managed ... complexity to Risk Adjustment. This is a hot topic in the industry and has significant impact to health ...- Date: Jan 2024
- Competency: Professional Values
- Topics: Health & Disability; Predictive Analytics; Social Insurance
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2023-health-meeting-session-5c
Risk adjustment (RA) is a key component for CMS Medicare Advantage program and California Medicaid Managed ... complexity to Risk Adjustment. This is a hot topic in the industry and has significant impact to health ...- Authors: Society of Actuaries
- Date: Jan 2024
- Competency: Professional Values
- Topics: Health & Disability; Predictive Analytics; Social Insurance