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Session 077: Medicaid Risk Adjustment: Understanding State Specific Design & Application for Effective Program Management
Session 077: Medicaid Risk Adjustment: Understanding State Specific Design & Application for Effective Program Management This session will explore the national landscape of state Medicaid ...- Authors: Zachary Aters, Suzanna-Grace Sayre
- Date: Jul 2019
- Competency: Results-Oriented Solutions
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models
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Estimation of Long Tailed Unpaid Losses from Paid Loss Development Using Trended Generalized Bondy Development
Estimation of Long Tailed Unpaid Losses from Paid Loss Development Using Trended Generalized Bondy Development This paper provides a method for estimating long-tailed unpaid losses from paid loss ...- Authors: Bradford S Gile
- Date: Jan 1993
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2 Discover the key components of value-based care (VBC) contracts and their impact on provider ...- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; 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; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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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
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Paying the Doctors Bills - How Can It Be Done?
Paying the Doctors Bills - How Can It Be Done? 1994 SOA Meeting, San Antonio. This session on physician reimbursements focused on arrangements that might be offered by managed care companies, ...- Authors: Nancy F Nelson, Janet Carstens, Scott E Guillemette
- Date: Jun 1994
- Competency: Results-Oriented Solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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The Minnesota Antiselection Model
The Minnesota Antiselection Model This model arose from a project to evaluate the cost of a health care access' program to provide comprehensive medical care to uninsureds in Minnesota, for ...- Authors: Application Administrator
- Date: Jan 1991
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health care; Modeling & Statistical Methods; Public Policy
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Alzheimer’s Disease as a Critical Illness Trigger: Does it Really Make Sense?
Alzheimer’s Disease as a Critical Illness Trigger: Does it Really Make Sense? Analysis of Alzheimer’s Disease as a potential Critical Illness insurance benefit trigger. Alzheimer's disease ...- Authors: Stephen Rowley, Cyriac Kottoor
- Date: Jun 2012
- Competency: Results-Oriented Solutions
- Publication Name: Product Matters!
- Topics: Health & Disability>Critical illness insurance; Life Insurance>Pricing - Life Insurance; Life Insurance>Underwriting - Life Insurance
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Responsible Machine Learning: Living Up to Our Professional Code of Conduct, ASOPs, and Corporate Requirements
Responsible Machine Learning: Living Up to Our Professional Code of Conduct, ASOPs, and Corporate Requirements Actuaries are leveraging predictive modeling and machine learning more and more as ...- Authors: James Dolstad, Abby Steele
- Date: Aug 2022
- Competency: Professional Values; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Predictive Analytics
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2023-china-symposium
Reunite with members and non-members in the China actuarial community to discuss recent topics and related issues in areas such as macroeconomic sharing, IFRS 17, product strategy, cross-border ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Professional Values; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Topics: Actuarial Profession; Annuities; Economics; Enterprise Risk Management; Finance & Investments; Financial Reporting & Accounting; Global Perspectives; Health & Disability; Life Insurance; Long-term Care; Modeling & Statistical Methods; Pensions & Retirement; Predictive Analytics; Public Policy; Reinsurance; Technology & Applications
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Aggregate Claims Distributions for Two Correlated Benefits
Aggregate Claims Distributions for Two Correlated Benefits This paper addresses pricing stop loss insurance by employee for two benefits combined when the available information included a claims ...- Authors: John A Mereu
- Date: Jan 1991
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health insurance