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  • 2021-medical-coding
    CPT, NCCI, ICD, CCI, DRG, APC, PTP – understanding healthcare claims involve a dizzying array of code sets and payment methodologies, and yet the claim form is the intersection of health plan ...

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    • Authors: Tony Pistilli, Michelle South, Chris Scott
    • Date: Sep 2021
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Experience Studies & Data; Health & Disability; Public Policy
  • COVID-19 Economic and Asset Impact Update, July 31, 2020
    COVID-19 Economic and Asset Impact Update, July 31, 2020 The Society of Actuaries (SOA) published its first COVID-19 research brief on March 10, 2020, followed by regular updates and expansions ...

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    • Authors: Society of Actuaries
    • Date: Jul 2020
    • Competency: External Forces & Industry Knowledge
    • Topics: Economics; Health & Disability
  • COVID-19 Costs to Commercial Health Insurers
    COVID-19 Costs to Commercial Health Insurers Health brief on impact of COVID-19 cost to health insurers. Due to the COVID-19 pandemic, the health care services industry is undergoing upheaval ...

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    • Authors: Society of Actuaries
    • Date: Apr 2020
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Claims - Health & Disability
  • Opportunities for Bundling Medicare Supplement and Short-Term Care: The Perfect Match?
    Opportunities for Bundling Medicare Supplement and Short-Term Care: The Perfect Match? This article describes Medicare Supplement and short-term care products in more detail, and we compare their ...

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    • Authors: Kenneth J Clark, Robert T Eaton
    • Date: Mar 2021
    • Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Rates - Health & Disability; Long-term Care>Long-term care pricing; Long-term Care>Rates - Long-term Care; Long-term Care>Termination - Long-term Care
  • 51st Annual Actuarial Research Conference
    51st Annual Actuarial Research Conference By Laurie Derechin Laurie Derechin recaps the 51st annual Actuarial Research Conference.  Accountable Care Organizations;Asset Liability Management; ...
    • Authors: Laurie Derechin
    • Date: Oct 2016
    • Competency: Leadership; Professional Values; Technical Skills & Analytical Problem Solving
    • Publication Name: Expanding Horizons
    • Topics: Actuarial Profession; Enterprise Risk Management; General Insurance (Property & Casualty); Health & Disability>Health insurance; Life Insurance; Modeling & Statistical Methods; Predictive Analytics
  • International Health Care Systems
    International Health Care Systems Compares the healthcare system of the US to the universal systems of selected other countries. Relies primarily on information compiled annually by The ...

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    • Authors: Christopher Slaybaugh
    • Date: Jan 2021
    • Competency: External Forces & Industry Knowledge
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health care; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
  • It Didn't Cost a Pennie
    It Didn't Cost a Pennie States can make ACA markets more attractive by enforcing compliance. Unlike other state opportunities, it doesn't cost anything. Pennsylvania made the change this year.

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    • Authors: Gregory Fann
    • Date: Jan 2021
    • Competency: External Forces & Industry Knowledge
    • Publication Name: In The Public Interest
    • Topics: Public Policy; Health & Disability>Affordable Care Act (ACA)
  • Health Economics Module
    Health Economics Module View information on the Health Economics Module. Consumer-driven health plans=CDHP;Managed care;Major medical insurance Welcome to the Health Economics FSA Module home ...

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    • Authors: Society of Actuaries
    • Date: Dec 2018
    • Competency: Professional Values; Results-Oriented Solutions
    • Topics: Economics>Financial economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology
  • Calibrating Risk Score Model with Partial Credibility
    Calibrating Risk Score Model with Partial Credibility by Shea Parkes and Brad Armstrong Learn how to use concepts like ridge regression to train a model with partial credibility. Predictive ...
    • Authors: Sheamus Parkes, Brad Armstrong
    • Date: Oct 2015
    • Competency: Results-Oriented Solutions>Actionable recommendations; 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: Expanding Horizons
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Bayesian methods; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods; Predictive Analytics
  • A Look at Top Health Care Systems Around the World
    A Look at Top Health Care Systems Around the World What can the United States learn from other countries' health care systems? How are other countries more efficient? We selected five countries ...

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    • Authors: Traci Leigh Hughes, Gail Stone
    • Date: May 2021
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Global Perspectives; Health & Disability