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  • Calibrating Risk Score Model with Partial Credibility
    Risk adjustment models are commonly used in managed care programs to ensure that participating health plans ... commercial population. However, the variety of managed care populations (and benefits) is much larger than the ...
    • Authors: Sheamus Parkes, Brad Armstrong
    • Date: Oct 2015
    • Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Expanding Horizons
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Bayesian methods; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods; Predictive Analytics
  • The Interstate Compact: Speeding Up Speed-To-Market
    The Interstate Compact: Speeding Up Speed-To-Market Speed to market. Consistency of product ... include life, annuity, disability and long-term care. The form types covered by uniform standards include ...
    • Authors: PW Calfas
    • Date: Sep 2012
    • Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: News Direct
    • Topics: Actuarial Profession>Best practices
  • Chairperson's Corner
    learn about the clinical matters underlying health care claims. The boot camps were a great success this ... increased educational focus on include: - The Affordable Care Act’s (ACA) impact on commercial pricing and reserving ...

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    • Authors: Donna Kalin
    • Date: Jan 2014
    • Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • The Missing 1 Percent
    The Missing ... Long-Term Care News May 2010 – Issue 25 10 | MAY 2010 | Long-Term Care News Jim ... to inhere in insurance claims payments—Long-Term Care (LTC) claims in particular. And, I wanted to find ...

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    • Authors: Jim Del Vecchio
    • Date: May 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Long-Term Care News
    • Topics: Health & Disability>Health information technology; Health & Disability>Electronic medical record
  • The User Experience
    The User Experience How can actuaries tailor their work to a target audience? This article explores ... are portrayed on the site. They choose their primary photo, can post updates as often as they’d like ...

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    • Authors: Robert Lang, MICHAEL JOSEPH GILLESPIE, Evan Morgan
    • Date: Jun 2017
    • Competency: Communication>Persuasive communication; External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices
  • Actuarial Model Component Design
    Actuarial Model Component Design The article describes the key components of actuarial model, ... years from now? In answering these questions, a primary concern is the integrity of the calculations and ...

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    • Authors: Bill Cember, Jeffrey Yoon
    • Date: Nov 2017
    • Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: The Modeling Platform
    • Topics: Modeling & Statistical Methods>Asset modeling; Modeling & Statistical Methods>Deterministic models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Stochastic models
  • Actuarial Modeling Systems: How Open We WANT Them to be vs. How Closed We NEED Them to be
    Actuarial Modeling Systems: How Open We WANT Them to be vs. How Closed We NEED Them ... that are extremely obscure or rare may require direct communication with the vendor for supporting documentation ...

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    • Authors: Alexander Zaidlin, James Christou, Ravi Bhagat
    • Date: Nov 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: The Modeling Platform
    • Topics: Modeling & Statistical Methods>Modeling efficiency; Technology & Applications>Software
  • Predictive Modeling Techniques Applied to Quantifying Mortality Risk
    Predictive Modeling Techniques Applied to Quantifying Mortality Risk Using the Cox proportional ... indicators of frequent/better quality of health care, which would allow for early detection and mitigation ...

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    • Authors: Vincent Granieri
    • Date: Jul 2016
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Experience Studies & Data>Mortality; Life Insurance>Underwriting - Life Insurance; Predictive Analytics
  • Getting Strategic About Risk Management: How Business Can Move Forward Through Greater Risk Awareness
    Getting Strategic About Risk Management: How Business Can Move Forward Through Greater Risk Awareness ... position.  The Patient Protection and Affordable Care Act is reshaping the health insurance market, as ...

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    • Authors: Lou DiSerafino
    • Date: Aug 2016
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>General business skills; External Forces & Industry Knowledge>Internal forces and business performance; Leadership>Influence; Leadership>Mentoring; Leadership>Professional network leverage; Leadership>Thought leadership; Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Topics: Actuarial Profession>Best practices; Enterprise Risk Management>Compliance; Enterprise Risk Management>Financial management; Enterprise Risk Management>Governance; Enterprise Risk Management>Operational risks; Enterprise Risk Management>Portfolio management - ERM; Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Finance & Investments>Risk measurement - Finance & Investments