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  • The Application of Data Blending to Resolve Unrelated Dimensions: A Tableau Use-Case for Calculating Per Member Per Year
    Medicare & Medicaid Services (CMS) provides accountable care organizations (ACOs) with monthly claims data (referred ... sources, in this case using the Claims table as the primary data source and the Membership table as the secondary ...

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    • 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
  • CHAIRPERSON’S CORNER: Untapped Opportunities for Actuaries in Health
    CHAIRPERSON’S CORNER: Untapped Opportunities for Actuaries in Health Summary of SOA initiative ... roles which are becoming available as the health care industry changes. Analytics and informatics;Health ...

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    • Authors: Susan Pantely
    • Date: May 2010
    • Competency: Communication; External Forces & Industry Knowledge>General business skills; Leadership>Change management; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Professional development; Experience Studies & Data; Health & Disability>Health information technology
  • Reconvened Health Research Committee Ready for Action!
    general interest related to health care issues. With health care reform lead- ing the current administration’s ... the arcane twists and turns of the current health care system. Although health actuaries have ably navigated ...

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    • Authors: Steven Siegel
    • Date: May 2010
    • Competency: Communication; Leadership>Thought leadership; Professional Values>Public interest representation
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Academic partnerships; Actuarial Profession>Professional associations; Experience Studies & Data
  • Moneyball and the Actuarial Profession
    SECTION NEWS AN ACTUARIAL RESPONSE TO THE HEALTH CARE CRISIS | FROM PAGE 9 Moneyball and the Actuarial ... and long-time baseball and can work for health care. Thus, just as it does for food and shelter, the ...

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    • Authors: Kurt Wrobel
    • Date: Apr 2004
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Experience Studies & Data
  • Using the Internet as a Pricing Tool
    change goes into effect?” If there is only one primary payor, then the answer lies in the applicable contractual ... Medicaid populations can be found on the Health Care Financing Administration site. (http://www.hcfa ...

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    • Authors: Application Administrator
    • Date: Dec 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Experience Studies & Data; Technology & Applications
  • Chairperson's Corner
    actuaries are recognized as leaders in the health care and disability markets. Mission Statement Prepare ... call for complexity models applied to a health care system. • A go-to guide on credibility. Projects ...

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    • Authors: Judy L Strachan
    • Date: May 2011
    • Competency: Communication; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Experience Studies & Data; Public Policy; Technology & Applications>Analytics and informatics
  • Soundbites from the American Academy of Actuaries’ Health Practice Council
    intended and unintended effects of different health care reform proposals. The model’s Web interface allows ... Academy’s Medicare Steering Committee and Health Care Quality Work Group submitted comments to Senators ...

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    • Authors: Heather E Jerbi, Melissa Lawler
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge; Leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Enterprise Risk Management>Risk measurement - ERM; Experience Studies & Data; Financial Reporting & Accounting; Health & Disability>Health care quality; Long-term Care; Public Policy