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Collaborative filtering for medical conditions
Recent trends in health care legislation have led to a rise in risk-bearing health care provider organizations ... organizations, such as accountable care organizations (ACOs). Entrusted with the care of thousands of patients ...- Authors: Sheamus Parkes, Benjamin Copeland
- Date: Dec 2016
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Health & Disability>Health risks; Predictive Analytics
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Risks & Mitigation for Health Insurance Companies
risks identified were connected to the Affordable Care Act (ACA) implementation, regulatory review of rates ... this one conducted periodically, since the health care risks will vary greatly with the economic and political ...- Authors: Sim Segal, Alice Rosenblatt
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks
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Health Risk Assessments in a Protected Environment
disease is considered manifested when a health care professional has made a diagnosis based on an examination ... plans to undergo genetic testing. However, a health care professional may still recommend and order a genetic ...- Authors: John C Cameron
- Date: May 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Ethical standards
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Public Policy; Technology & Applications>Analytics and informatics
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SOA Research Institute Reports on COVID-19
with 2020 Experience COVID-19 Impact on Long-Term Care Insurance 2021 Survey Group Life COVID-19 Mortality ... Mortality Analysis COVID-19 Impact on Long-Term Care Insurance 2020 Survey 2020 Excess Deaths in the ...- Authors: Society of Actuaries
- Date: Mar 2020
- Topics: Actuarial Profession>Best practices; Health & Disability>Health risks; Health & Disability>Claims - Health & Disability
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The Actuary and Underwriting: Operations and Profitability in 21st Century Health Risk Management
Mark J. Franzen has been active in health-care technology and data analysis for the last 15 years ... CEO of Infotrust. Prior to that, he was health-care actuary at Trustmark Insurance Company. He began ...- Authors: Mark J Franzen, Valerie Lendt, Hank George, Kathy Thomas
- Date: Jun 2003
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health risks
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Case Study: Quantifying Healthcare Industry Adverse Disruptors
successful health care corporation providing insurance benefits for comprehensive medical care. The corporation’s ... assignment, the focus is on disruptors that impact health care benefit claims costs with a negative impact to ...- Authors: Society of Actuaries
- Date: Feb 2016
- Competency: External Forces & Industry Knowledge; Leadership>Mentoring; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Topics: Actuarial Profession>Competencies; Health & Disability>Health risks
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Risk Adjustment: The Details and Why They Matter
Risk adjustment uses algorithms to predict health care costs based on the relative actuarial risk of enrollees ... plan premium payments based on expected health care costs. Some of the payment method- ology currently ...- Authors: Karena Weikel
- Date: Feb 2018
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks
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A Comparative Analysis of Claims-Based Tools for Health Risk Assessment
and its technical work sometimes includes the direct use and review of risk adjusters and their application ... processof adjusting health plan payments, health care provider payments and individual or group premiums ...- Authors: Leigh Wachenheim, Ross Winkelman, Syed Mehmud
- Date: Apr 2007
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Health & Disability>Health risks
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Risk Factors in the Hospital Industry
chose: Competition from Other Hospitals and Health Care Providers; Human Resource: physician, staff and ... 5 companies chose: Gvrnmnt. programs or Managed care companies reduce payments RISK FACTORS IN THE HOSPITAL ...- Authors: Marjorie Rosenberg, Peng Shi, SHINICHI KAMIYA, Joan Schmit
- Date: Dec 2008
- Competency: External Forces & Industry Knowledge
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health risks
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Alternative/Simplified Underwriting for Life and Health Products
of the sponsoring organizations, is chairman of Primary Knowledge, Inc. in Irvine, CA. ‡Mr. Hank George ... access to needed resources, or perhaps better health care? Success itself seems to provide certain privileges ...- Authors: Craig M Baldwin, Ryan Levin, Loren Kane, Jerry Conrad, Hank George
- Date: Oct 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health risks