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The State of Predictive Analytics in U.S. Health care
The State of Predictive Analytics in U.S. Health care Health care predictive analytics varies between ...- Authors: Marilyn Medved McGaffin
- Date: Nov 2016
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Predictive Analytics
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Better Care Through Understanding the Customer Not Just the Patient
types of data exist outside a health plan or provider’s walls that would enable us to develop a more holistic ... data sources that can help inform us of a member’s needs and wants. The first two are publicly 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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Articles of interest to health actuaries in the North American Actuarial Journal
STRUCTURAL SUTSE MODEL: AN APPLICATION TO BRAZILIAN ANNUITY PLANS César Neves, Cristiano Fernandes and Álvaro ... information of a related population for which longer mortality time series exist. The state space model proposed ...- Authors: Ian G Duncan
- Date: May 2016
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Demography>Longevity; Health & Disability>Health insurance; Predictive Analytics
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Assessing Prescription Opioid Risk with Predictive Analytics
National Vital Statistics System. Mortality. CDC Wonder, Atlanta: U.S. Department of Health and Human ... Tamara M. Haegerich, and Roger Chou. Morbidity and Mortality Weekly Report: CDC Guideline for Prescribing ...- Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; 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: Health Watch
- Topics: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
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Getting Started with Advanced Analytics: The How and Why
newer and bigger world of Big Data and the Big Table. In health care, the new world is about integration ... mod- els because they were first developed for mortality. However, think of them as patterns of events ...- Authors: Gregory Pence
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Predictive Analytics
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
improve credibility enough that a larger provider's own prior period experience can be used directly, ... for providers to trust. Questions of the form “it's not clear or fair that I should be measured based ...- 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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Quantile Regression - A New Actuarial Approach to Claims Estimation
trended to a future rating period as shown in Table 1. Table 1 Trended Two-year Claim Experience for Group ... claims distribution that experience represented, as Table 2 illustrates. Based on this information, you might ...- Authors: Robert Jason Reed (Jason)
- Date: Apr 2020
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Predictive Analytics; Health & Disability>Claims - Health & Disability; Predictive Analytics>Modeling techniques
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Responsible Machine Learning: Living Up to Our Professional Code of Conduct, ASOPs, and Corporate Requirements
selecting that technology.[1] Numerous use cases for AI’s impact on the health care industry are emerging on ... they have significant room for improvement. Duke’s Margolis Center for Health Policy released a paper ...- Authors: James Dolstad, Abby Steele
- Date: Aug 2022
- Competency: Professional Values; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Predictive Analytics
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Health Care (Pricing) Reform
Health Care (Pricing) Reform This article discusses ... In n e R S o f T h e h e A lT h W A T C h A R T IC l e C o n T e S T cost ... In n e R S o f T h e h e A lT h W A T C h A R T IC l e C o n T e S T do not ...- Authors: Syed Mehmud
- Date: May 2012
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods>Estimation methods; Predictive Analytics
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Results From the 2017 Predictive Analytics in Health Care Trend Forecast
Results From the 2017 Predictive Analytics in Health Care Trend Forecast Results of a survey of ... benefits that predictive analytics brings to the table outweigh the potential downsides. Contemporary ...- Authors: Ian G Duncan
- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Predictive Analytics