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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; 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
- Publication Name: Risk Management
- Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
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Health Insurance Portability and Accountability Act - One Year Later
Health Insurance Portability and Accountability Act - One Year Later Panelists discuss the ongoing influence and long-term implications of the Health Insurance Portability and Accountability Act ...- Authors: Cecil Bykerk, Donna C Novak, Julie Walton
- Date: Oct 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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An Overview of Health Issues and Recent Developments for the Non-Health Actuary
An Overview of Health Issues and Recent Developments for the Non-Health Actuary This session discussed about expected trends in medical care costs, changes in Medicare reimbursement practices and ...- Authors: Phyllis Doran, Roland E King, Charles Larimer, Joseph W Moran, John K Ninomiya
- Date: Apr 1986
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health care; Long-term Care>Long-term care insurance; Public Policy; Social Insurance>Medicare
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Session 129: Direct Primary Care – Physician Perspectives and Patient Selection
Session 129: Direct Primary Care – Physician Perspectives and Patient Selection Direct Primary Care (DPC) is a newer model of primary care delivery in which patients or employers pay for care ...- Authors: Gayle Brekke, Dustin Grzeskowiak, Achilles M Natsis
- Date: May 2019
- Competency: External Forces & Industry Knowledge
- Topics: Economics>Health economics; Health & Disability>Health care
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The Formulary Decision Process: What Are They Doing in There and Can Actuaries Help?
The Formulary Decision Process: What Are They Doing in There and Can Actuaries Help? Actuaries should understand the economic considerations involved in the formulary drug decision-making ...- Authors: Jonathan L Shreve, Jill Van Den Bos, John Watkins, Kristin Reed
- Date: May 2011
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Influence
- Topics: Economics>Health economics; Health & Disability>Health care
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Future of the Employer Role in Provision of Health Insurance
Future of the Employer Role in Provision of Health Insurance Article about the future roles in health insurance. Government-funded healthcare;Group health plans;Health care costs;Health care ...- Authors: Society of Actuaries
- Date: Mar 2003
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Economics>Health economics; Health & Disability>Health care; Long-term Care>Long-term care insurance; Pensions & Retirement>Retiree medical; Public Policy
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Review: “Health Insurance for ‘Humans’: Information Friction
Review: “Health Insurance for ‘Humans’: Information Friction A review of the academic article "Health Insurance for ‘Humans’: Information Frictions, Plan Choice, and Consumer ...- Authors: Christopher Coulter, Kathleen Dobrzynski, Tyler Engel, Dorothy Andrews
- Date: Nov 2016
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics; Economics>Health economics; Health & Disability>Health care
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Health Insurance
Health Insurance Article Health Insurance in The Actuary, June 1979, Volume 13, Number 6 Health economics;Health insurance;Health policy; 12122 6/1/1979 12:00:00 AM ...- Authors: Application Administrator
- Date: Jun 1979
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: The Actuary Magazine
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
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Rationing Health Care
Rationing Health Care This session is about rationing health care. From Record of Society of Actuaries Vol. 18, No. 4A. Budgets;Government-funded healthcare;Health care costs;Health care ...- Authors: Gregory Benesh, Howard Kurpit, Janet Carstens, Martin Gaynor, John B Crosby
- Date: Oct 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Ethical standards; Professional Values>Public interest representation
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Public Policy; Public Policy; Social Insurance>Medicaid
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Behavioral Economics: Overview and Healthcare Applications
Behavioral Economics: Overview and Healthcare Applications This article provides an overview of behavioral economic theory as it relates to health and welfare insurance plans and provides ...- Authors: Randy P Herman, Tony Pistilli, Brian Plaskow, Jeffrey Chanin
- Date: Aug 2020
- Competency: External Forces & Industry Knowledge; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Economics; Economics>Behavioral economics; Economics>Health economics; Health & Disability; Health & Disability>Health care