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Health Watch, June 2018, Issue 86
Health Watch, June 2018, Issue 86 Read the June 2018 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.- Authors: Society of Actuaries
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Letter from the Editor
Letter from the Editor A letter from me introducing this issue. Health insurance;health reserves;Medicare 6442484877 10/1/2018 12:00:00 AM ...- Authors: JoAnn Bogolin
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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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
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Health Watch, February 2018, Issue 85
Health Watch, February 2018, Issue 85 Read the February 2018 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section ...- Authors: Society of Actuaries
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Improving Medicare Advantage Star Ratings: An Analytical Framework
Improving Medicare Advantage Star Ratings: An Analytical Framework This paper outlines a framework for assisting a STARS manager in implementing a quantitative approach to prioritize stars ...- Authors: Puneet Budhiraja, Rajesh Munjuluri
- Date: Oct 2018
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Technology & Applications>Analytics and informatics
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Model of Long-Term Health Care Cost Trends in Canada
Model of Long-Term Health Care Cost Trends in Canada The Canadian Institute of Actuaries (CIA) and the Society of Actuaries (SOA) are pleased to make available a resource model that provides ...- Authors: Society of Actuaries, 107929_firstname Canadian Institute of Actuaries
- Date: Mar 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care
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Letter From the Editor
Letter From the Editor Editor letter about what constitutes a good Health Watch article and summary of articles. Health care reform;Health insurance;Health policy 6442480946 2/1/2018 12:00:00 AM ...- Authors: Gregory Fann
- Date: Feb 2018
- Competency: Communication>Written communication; Leadership>Thought leadership; Professional Values>Ethical standards
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Initiative 18|11: What Can We Do About the Cost of Health Care?
Initiative 18|11: What Can We Do About the Cost of Health Care? This article summarizes a joint SOA/Kaiser Family Foundation initiative focused on addressing the rising cost of health care in the ...- Authors: Joan Barrett, Brian Pauley, Joseph Wurzburger
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Examining Predictive Modeling–Based Approaches to Characterizing Health Care Fraud
Examining Predictive Modeling–Based Approaches to Characterizing Health Care Fraud This research report provides an evaluation and synthesis of the methodologies and data samples used on ...- Authors: Society of Actuaries, JING AI, Robert D Lieberthal, Rachel Wojciechowski, Skyla Smith
- Date: Mar 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Reasons to Reconcile
Reasons to Reconcile Financial reconciliation is critical to a successful Medicare Advantage (MA) bid. Reconciliation should be routinely revisited as new information arises. Medicare;Corporate ...- Authors: Gregory Sgrosso
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Internal forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health care