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On the Credibility of Group Insurance Claim Experience
actual claim experi- ence for a group and is in direct proportion to the expected claims. Based on knowledge ... bility factors. It may also be true that the health care situation has been more "turbulent" in recent years ...- Authors: Myron Henry Margolin
- Date: Nov 1971
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Transactions of the SOA
- Topics: Health & Disability
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Overinsurance
conditions. As to section C, individual medical care insurance, my company has a limit for hospital ... premium increases resulting from higher medical care costs. While there are many practical problems ...- Authors: Burton E Burton, William E Butler, Frank H David, Gary K Drown, Richard W Erdenberger, Robert B Goode, George L Hogeman, Morton J Kent, Meno T Lake, Quintin J Maltby, Joseph W Moran, George M Sherritt, Charles N Walker, Ralph P Walker, George Davis, JOHN H MILLER, Andrew C Webster, Arthur Pedoe, J Henry Smith, Philip F Finnegan, Alton P Morton, Wilmer A Jenkins, Barton S Pauley, Alfred N Guertin, Earl M Macrae, Frank G Whitbread, Walter A Merriam, Douglas T Weir, Robert P Coates, Milton A Ellis, Robert L Roebuck
- Date: Jan 1961
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Transactions of the SOA
- Topics: Health & Disability; Life Insurance
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A Mathematical Model of the Incidence of Disability
suggest that, analogous to the costs under medical care insurance occasioned by "elective surgery," there ... representation of the disability risk by placing primary emphasis on the underlying mathematical model ...- Authors: John C Angle, John Miller, James Olsen, Simon T Courant
- Date: May 1974
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Transactions of the SOA
- Topics: Experience Studies & Data>Disability; Health & Disability; Modeling & Statistical Methods
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Applying Diagnosis-Based Predictive Models to Group Underwriting
information to accurately measure expected health care consumption to support efficient alloca- tion of ... 38 million members who were eligible for health care insurance for at least 1 month in both 1997/98 (Year ...- Authors: Randall P Ellis, Marilyn Kramer
- Date: Aug 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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Comparison of Risk Adjusters
Comparison of Risk Adjusters Analysis of diagnosis and pharmacy-based methods of health ... medical diagnosis codes to adjust payments to managed care plans for Medicaid enrollees. Employers are using ...- Authors: Robert Cumming
- Date: Oct 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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Incurred Health Claims:One Lag Report is Not Enough
What’s Normal vs. What’s Perfect Practicing health care actuaries know that there are many factors influencing ... 5 and in the actuarial liter- ature. The health care actuary who attempts to employ the development method ...- Authors: Henry Frantz
- Date: Apr 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability; Modeling & Statistical Methods