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  • Using Prescription Drug Data For Risk Adjustment And Underwriting/Rating
    Also, our company in Boston has collaboration with Care Group Provider Service Network, which is the Beth ... how you can use pharmacy data to predict health care cost. First, we'll talk about the strengths ...

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    • Authors: J Franklin Rose, Robert Cumming, Arlene S Ash
    • Date: Oct 2001
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
  • Comparison of Risk Adjusters
    Comparison of Risk Adjusters Analysis of diagnosis and pharmacy-based methods of health ... medical diagnosis codes to adjust payments to managed care plans for Medicaid enrollees. Employers are using ...

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    • Authors: Robert Cumming
    • Date: Oct 2002
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability