11
-
20
of
37
results (0.41 seconds)
Sort By:
-
Session 091: Medicaid Margin Assumptions - Opening the Black Box
Session 091: Medicaid Margin Assumptions - Opening the Black Box In Medicaid rate development, actuaries have not historically shared models that developed the margin (i.e., underwriting gain) ...- Authors: Sabrina Gibson, Michelle L Raleigh, James Randolph Piekut, Jaredd Martin Keith Simons
- Date: May 2019
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Forecasting
-
Healthcare Risk Adjustment & Predictive Modeling (predicting hospital readmission, draft chapter 20)
Healthcare Risk Adjustment & Predictive Modeling (predicting hospital readmission, draft chapter 20) This chapter focuses on creating practical models that aid in the prediction of the risk ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Analytics and informatics
-
Vendor Comments to A Comparative Analysis of Claims-Based Tools for Health Risk Assessment
Vendor Comments to A Comparative Analysis of Claims-Based Tools for Health Risk Assessment The Johns Hopkins ACG Team's comments regarding their participation in the Comparative Analysis ...- Authors: Society of Actuaries
- Date: May 2007
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Regression analysis
-
Using Prescription Drug Data For Risk Adjustment And Underwriting/Rating
Using Prescription Drug Data For Risk Adjustment And Underwriting/Rating This session 99PD of the New Orleans Annual Meeting summary: Insurers today are looking for new ways to use currently ...- Authors: J Franklin Rose, Robert Cumming, Arlene S Ash
- Date: Oct 2001
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
-
Session 115: Data-Driven Explorations in Healthcare Credibility
Session 115: Data-Driven Explorations in Healthcare Credibility This session will explore the various methods of determining the credibility levels that are given to various size employer groups ...- Authors: Bryan Wayne Kassing , Michelle Elsie Roark, Timothy James Ryan
- Date: May 2019
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Credibility theory
-
Group Medical Pricing Trend
Group Medical Pricing Trend This paper provides an outline of the pricing methodology used by Blue Cross and Blue Shield of Virginia which incorporates trend analysis by trend component. From ...- Authors: Wesley S Carver, David A Shea
- Date: Jan 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
-
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
-
A Comparison of Risk Scoring Recalibration Methods
A Comparison of Risk Scoring Recalibration Methods This article compares three potential approaches to determining new coefficients for health-based risk scoring models: full recalibration, ...- Authors: Geoffrey Hileman
- Date: Dec 2015
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Modeling & Statistical Methods>Regression analysis
-
Power Tail Distributions and Group Medical Expense Insurance Payments
Power Tail Distributions and Group Medical Expense Insurance Payments In this paper the authors analyze data from group medical expense insurance claims and show that many insurance loss ...- Authors: Walter B Lowrie, L Lipsky
- Date: Jan 1990
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
-
Developing Group Health Credibility Factors through Stochastic Modeling
Developing Group Health Credibility Factors through Stochastic Modeling Discussion that developing credibility factors for group health insurance can be accomplished empirically through the use ...- Authors: John N Albert
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Stochastic models