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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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Society of Actuaries Research Brief: Impact of COVID-19
..................................... 5 Health Care Cost and Utilization .......................... ... have been fast at work in connecting with health care providers in order to collect current case information ...- Authors: R. Dale Hall
- Date: Mar 2020
- Competency: External Forces & Industry Knowledge
- Topics: Actuarial Profession>Best practices; Health & Disability>Health risks; Health & Disability>Claims - Health & Disability
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Society of Actuaries Research Brief Impact of COVID-19, March 25, 2020
.................................... 10 Health Care Cost and Utilization .......................... ... have been fast at work in connecting with health care providers to collect current case information.- Authors: Society of Actuaries
- Date: Mar 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health risks; Health & Disability>Claims - Health & Disability
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Accuracy of Claims-Based Risk Scoring Models
....................... 10 3.1.8 SCIO® Cost of Care Model (Vendor: SCIO Health Analytics®) ........ ... ...................... 11 3.1.9 Truven Cost of Care Model (Vendor: Truven Health Analytics, an IBM Company) ...- Authors: Geoffrey Hileman, Spenser Steele
- Date: Oct 2016
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks
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Actuarial Model for Wellness – Survey Results
Loss of activities of daily living and long-term care cost Workplace injury prevalence and workers' ... health state (“Personal Traits”); and Health care provider culture (“Culture”). The model in the ...- Authors: Society of Actuaries
- Date: Feb 2014
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency
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Actuarial Model for Wellness – Survey Results - Appendix II
Not Applicable 3 Still need to adjust for impact of dental care 2 Yes, impacts medical underwriting All other ... Loss of activities of daily living and long‐term care cost Mortality impact and life insurance, retir ...- Authors: Society of Actuaries
- Date: Feb 2014
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency
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ERM Framework for Decision Making
qualitative risk assessment typically involves direct, live interviews, with a broad group of individuals ... value, fully captures the risk impacts, and allows direct comparison across all sources and types of risks; ...- Authors: Sim Segal
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks
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Actuarial Model for Wellness – Researcher Interviews
Actuarial Model for Wellness – Researcher Interviews In this third phase, Sibson interviewed three ... Ambulatory Medical Care Survey (NAMCS), and National Hospital Ambulatory Medical Care Survey (NHAMCS) ...- Authors: Sibson Consulting
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency
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Actuarial Model for Wellness – Survey Results - Appendix I
Loss of activities of daily living and long-term care cost Mortality impact and life insurance, retirement ... Loss of activities of daily living and long-term care cost Mortality impact and life insurance, retirement ...- Authors: Society of Actuaries
- Date: Feb 2014
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency
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Uncertainty in Risk Adjustment
significance for Medicare Advantage, Medicaid managed care, and commercial health insurance plans. With national ... arrangement (e.g. Medicare Advantage or Medicaid managed care) or a provider organization under a global risk ...- Authors: Syed Mehmud, Rong Yi
- Date: May 2012
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks