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Practical Issues for Health Actuaries–Written by Project Oversight Group
expenditure growth leading to the fallacious position that the whole of the US economy would ultimately ... healthcare trends resource model, prepared for the Society of Actuaries by Professor Thomas Getzen, that ...- Authors: Application Administrator, John Cookson, Marilyn Miller Oliver, Adam J Reese, Steven Siegel, Keith J Williams, Russell Weatherholtz
- Date: Jan 2007
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Financial Reporting & Accounting>Financial Accounting Standards Board [FASB]; Health & Disability
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Modeling the Unwinding—Where Are We Now?
Modeling the Unwinding—Where Are We Now? Article reviews the data a year into the unwinding of continuous ... continuous coverage provisions in Medicaid, the impact on enrollment counts, how capitation rates have been ...- Authors: Colby Schaeffer
- Date: May 2024
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health risks; Health & Disability>Public financing - Health & Disability
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Health Care Cost Trends Request for Proposals – Changes in Medical Trend Due to Provider Disruption
for Proposals – Changes in Medical Trend Due to Provider Disruption The COVID-19 pandemic helped accelerate ... changes in the Health Care system that were already taking place. The major disruptions to the way providers ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Session 2A: Essential Actuarial and Analytic Tools and Methods for Health Insurance and Healthcare Management
health insurance to identify and quantify drivers of healthcare cost and utilization (including wasteful ... methodologies apply, such as underwriting, reinsurance, medical management for population health and chronic diseases ...- Authors: Rong Yi
- Date: Jul 2019
- Competency: Communication; External Forces & Industry Knowledge; Leadership; Professional Values; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Health Care Cost Trends Request for Proposals – Recent Changes in Medical Service Composition and Trends
Proposals – Recent Changes in Medical Service Composition and Trends The Society of Actuaries (“SOA”) Research ... Research Institute is the research arm of the SOA, providing objective, data-driven research that brings ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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The Next Horizon of Value-based Care: An Opportunity for Actuaries to Become Pioneers in Health Care
The Next Horizon of Value-based Care: An Opportunity for Actuaries to Become Pioneers in Health Care ... Care The momentum in value-based care has produced an opportunity for actuaries to become pioneers in health ...- Authors: Yuxiao Zhao
- Date: Aug 2023
- Competency: External Forces & Industry Knowledge; Leadership; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: Actuarial Profession; Actuarial Profession>Alternative careers; Health & Disability; Health & Disability>Health care
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Claims Prediction Model and the Simulation of Health Savings Account [HSA] Performance
Model and the Simulation of Health Savings Account [HSA] Performance Using data from the Health & ... Study [HRS], a two-part medical claim prediction model is estimated for a cohort of survey respondents approaching ...- Authors: Vincent Kane
- Date: Aug 2007
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Continuance Functions
Functions The object of this paper is to present a theoretical basis for the mathematical graduation of continuance ... demonstrate the methods of utilizing the theory to derive claim costs for a wide variety of benefits. From ...- Authors: E Paul Barnhart
- Date: Nov 1959
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Health & Disability
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Analyzing Direct Marketing Business Alternatives Using a “Value” Approach
Analyzing Direct Marketing Business Alternatives Using a “Value” Approach This article ... Approach This article describes some of the traditional profit measurement standards for direct marketing and ...- Authors: Jay Jaffe, David S Lee
- Date: Apr 1998
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: News Direct
- Topics: Health & Disability; Life Insurance>Pricing - Life Insurance; Life Insurance>Marketing and distribution - Life Insurance
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Session 169: Risk Adjustment in Medicaid: Recent Developments
Adjustment in Medicaid: Recent Developments The presenters will cover the variation in risk adjustment approaches ... recent developments, such as the use of OCR to extract data from medical charts for risk adjustment, will ...- Authors: Edward M Mailander, Daniel Henry
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Payment models; Public Policy; Public Policy