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Examining Predictive Modeling–Based Approaches to Characterizing Health Care Fraud
Modeling–Based Approaches to Characterizing Health Care Fraud This research report provides an evaluation ... characterizing health care fraud. health insurance;health care;predictive modeling;Health care Fraud 6442481349 ...- Authors: Society of Actuaries, JING AI, Robert D Lieberthal, Rachel Wojciechowski, Skyla Smith
- Date: Mar 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Financing Chronic Care Seminar: Specific Chronic Condition Studies and Models
Financing Chronic Care Seminar: Specific Chronic Condition Studies and Models This session takes a fresh ... issues related to acute care focus and the challenges of providing coordinated care for chronic conditions ...- Authors: Stephen P Melek, Marjorie Rosenberg, Robert D Lieberthal, Karen A. Fitzner, Iver Juster
- Date: Jun 2005
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Chronic health management - Health & Disability
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The Cost and Benefits of Treating Type 2 Diabetes Mellitus as a Chronic Condition
the setup of medical coverage in the U.S. health care system. It is a chronic disease that has genetic ... complications over the long term. From Financing Chronic Care Monograph, M-HB05-1. Consumer-driven health pl ...- Authors: Robert D Lieberthal
- Date: Mar 2005
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Topics: Actuarial Profession>Competencies; Economics; Health & Disability>Health care; Health & Disability>Health insurance
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Getting Actuaries More Engaged in Population Health
determinants of health personal behaviors, medical care and the public health infrastructure, as well as ... to maximize the health of populations. Health care costs;Health factors;Policyholder behavior; 25718 ...- Authors: Robert D Lieberthal
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Economics>Health economics; Health & Disability>Health care quality; Public Policy; Technology & Applications>Analytics and informatics
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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies ... Health care fraud;Predictive modeling;Medicare;Health insurance;Health economics;Health care costs;Data ...- 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
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Abstract: The Cost and Benefits of Treating Type 2 Diabetes Mellitus as a Chronic Condition
Abstract: The Cost and Benefits of Treating Type 2 Diabetes Mellitus as a Chronic Condition This is the abstract for the ... Chronic illness management;Diabetes;Preventive care; 8359 3/1/2005 12:00:00 AM ...- Authors: Robert D Lieberthal
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Experience Studies & Data>Morbidity; Experience Studies & Data>Mortality; Health & Disability>Health care
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Evaluating Approaches for Adoption of Medical Technologies
Evaluating Approaches for Adoption of Medical Technologies The purpose of this project was to ... through health plans. Medical technology;Health care costs;Health insurance 6442454120 3/1/2014 12:00:00 ...- Authors: Robert D Lieberthal
- Date: Mar 2014
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care quality
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Evaluating Approaches for Adoption of Medical Technologies – HEOR Tool
Evaluating Approaches for Adoption of Medical Technologies – HEOR Tool The purpose of this project ... through health plans. Medical technology;Health care costs;Health insurance 6442454119 3/1/2014 12:00:00 ...- Authors: Robert D Lieberthal
- Date: Mar 2014
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care quality
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Evaluating Approaches for Adoption of Medical Technologies
Evaluating Approaches for Adoption of Medical Technologies The purpose of this project was to ... that are provided through health plans. Health care costs;Medical technology;Health insurance Research ...- Authors: Robert D Lieberthal
- Date: Mar 2014
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Validating the PRIDIT method for determining hospital quality with outcomes data
Validating the PRIDIT method for determining hospital quality with outcomes data Presented at August ... high quality hospital networks for in-network care Pay for performance programs If insurers can’t ...- Authors: Robert D Lieberthal, ANDREA KATHERINE OCONNELL, Application Administrator
- Date: Aug 2011
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Topics: Health & Disability>Health care quality