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The Application of Data Blending to Resolve Unrelated Dimensions: A Tableau Use-Case for Calculating Per Member Per Year
The Application of Data Blending to Resolve Unrelated Dimensions: A Tableau Use-Case for Calculating ... monthly claims data for members, including their medical visits and ACO program eligibility. This data can ...- Date: May 2023
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Technology & Applications; Technology & Applications>Business intelligence; Technology & Applications>Computer science; Experience Studies & Data>Rate calculations; Experience Studies & Data>Table construction; Technology & Applications>Visualization
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Behavioral Economics: Overview and Healthcare Applications
Applications This article provides an overview of behavioral economic theory as it relates to health and welfare ... insurance plans and provides summaries of two sample applications of the theories: enrollment in health insurance ...- Authors: Randy P Herman, Tony Pistilli, Brian Plaskow, Jeffrey Chanin
- Date: Aug 2020
- Competency: External Forces & Industry Knowledge; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Economics; Economics>Behavioral economics; Economics>Health economics; Health & Disability; Health & Disability>Health care
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At the Intersection of Risk Adjustment and Social Determinants of Health
At the Intersection of Risk Adjustment and Social Determinants of Health Interview of people knowledgeable ... knowledgeable about risk adjustment and the use of social determinants of health with that context for Medicaid ...- Authors: Sudha Shenoy, Gail Stone
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid
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A Non-Traditional Actuarial Role
A Non-Traditional Actuarial Role Profile of an actuary in a non-traditional actuarial ... Actuarial Role Profile of an actuary in a non-traditional actuarial role: focusing on medical cost and analysis ...- Authors: Carolyn Young
- Date: May 2010
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Health & Disability>Health information technology; Modeling & Statistical Methods>Forecasting; Technology & Applications>Analytics and informatics
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Responsible Machine Learning: Living Up to Our Professional Code of Conduct, ASOPs, and Corporate Requirements
Machine Learning: Living Up to Our Professional Code of Conduct, ASOPs, and Corporate Requirements Actuaries ... Actuarial standards of practice provide guidance around modeling and data. The world has changed significantly ...- 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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Opportunities for Bundling Medicare Supplement and Short-Term Care: The Perfect Match?
Bundling Medicare Supplement and Short-Term Care: The Perfect Match? This article describes Medicare Supplement ... explore the concept that these two products—when offered together—may provide a complementary hedge of certain ...- Authors: Kenneth J Clark, Robert T Eaton
- Date: Mar 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Rates - Health & Disability; Long-term Care>Long-term care pricing; Long-term Care>Rates - Long-term Care; Long-term Care>Termination - Long-term Care
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Valuation of Care Management Vendors
Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings by external ...- Authors: Rick S Pawelski
- Date: May 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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June 2019 issue of Health Watch
June 2019 issue of Health Watch Read the June 2019 issue of Health Watch, published by the Health Section ...- Authors: Society of Actuaries
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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October 2019 issue of Health Watch
2019 issue of Health Watch Read the October 2019 issue of Health Watch, published by the Health Section ... sections, section activities. This is the first digital-only issue of the newsletter. 10/31/2019 12:00:00 ...- Authors: Society of Actuaries
- Date: Oct 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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October issue of Health Watch
October issue of Health Watch Read the October 2019 issues of Health Watch, published by the Health Section ... sections, section activities. This is the second digital-only issue of the newsletter. 11/6/2019 12:00:00 ...- Authors: Society of Actuaries
- Date: Nov 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability