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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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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
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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 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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New Contract Medicare Star Ratings: Why The Sudden Cliff?
New Contract Medicare Star Ratings: Why The Sudden Cliff? On average, contracts receiving their first star rating receive 3.20 stars, compared to existing or established contracts receiving 3.90 ...- Authors: Suzanna-Grace Sayre, Danielle Beierle
- Date: Jan 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance