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Health Reinsurance
Health Reinsurance 2003 Valuation Actuary Symposium, San Diego, CA. The panel discussed the current challenges in the health reinsurance marketplace. Topics included traditional quota share ...- Authors: Application Administrator, James Grant, Michelle Fallahi
- Date: Sep 2003
- Competency: Results-Oriented Solutions
- Topics: Health & Disability>Health insurance; Reinsurance>Coinsurance; Reinsurance>Stop-loss insurance
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Society of Actuaries Analyzes Pharmacy Ecosystem in New Study
Society of Actuaries Analyzes Pharmacy Ecosystem in New Study The Society of Actuaries Research Institute developed a new study to explore pharmacy financing. The goals of the SOA related to this ...- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
- Topics: Health & Disability; Health & Disability>Health insurance
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Point-of-Service Plans - Where are We Now?
Point-of-Service Plans - Where are We Now? 1993 SOA Spring Meeting, San Diego. This session is about point-of-service plans, overview of current enrollment statistics/ tends, in-network and ...- Authors: Edward Cymerys, Andrew H Hiles, Steven Wander, Dennis Lee
- Date: Apr 1993
- Competency: Results-Oriented Solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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How to Succeed in the Worksite Market
How to Succeed in the Worksite Market This article describes the four keys to successful worksite marketing: 1. Onsite selling either with group meetings or one-on one using professional ...- Authors: Al Barthelman
- Date: Dec 1998
- Competency: Results-Oriented Solutions
- Publication Name: Small Talk
- Topics: Annuities>Marketing and distribution - Annuities; Health & Disability>Accident insurance; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Life Insurance>Marketing and distribution - Life Insurance
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An Analysis of Loss Reserves in Canada
An Analysis of Loss Reserves in Canada This paper investigates the accuracy of loss reserves by comparing some reserves with the actual results five years hence. The ultimate purpose was to ...- Authors: Robert Brown, Harry H Panjer
- Date: Jan 1991
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health insurance
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Valuation of Care Management Vendors
Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings by external care vendors 5/1/2020 12:00:00 AM ...- Authors: Rick S Pawelski
- Date: May 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Better Care Through Understanding the Customer Not Just the Patient
As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical data. That information is captured while patients are in health care facilities. Yet ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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A Patient Centric Approach to AI in Health Insurance
A Patient Centric Approach to AI in Health Insurance The article explores how integrating AI into insurer apps can address critical challenges in healthcare, such as patient no-shows, medication ...- Authors: Scott Damery
- Date: May 2024
- Competency: Results-Oriented Solutions
- Topics: Health & Disability; Health & Disability>Health insurance; Technology & Applications; Technology & Applications>Artificial intelligence & machine learning
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A Method for the Calculation of Aggregate Stop-Loss Premiums
A Method for the Calculation of Aggregate Stop-Loss Premiums This paper presents a procedure for calculating aggregate stop-loss premiums that takes parameter uncertainty into account. From ...- Authors: Charles S Fuhrer
- Date: Jan 1988
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health insurance
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A Method for Analyzing Specific Stop-Loss Medical Insurance Claims
A Method for Analyzing Specific Stop-Loss Medical Insurance Claims This paper presents a method for analyzing the experience of a stop-loss underwriter to develop a claim continuance table. This ...- Authors: Timothy Ross
- Date: Jan 1993
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health insurance