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From Art to Science - Using Clinical Insight Modeling to Strengthen Actuarial Prediction
From Art to Science - Using Clinical Insight Modeling to Strengthen Actuarial Prediction Clinical Insight Modeling ... Issue No. 42. Catastrophic risk;Data mining;Health care costs; 9397 1/1/2002 12:00:00 AM ...- Authors: Harry Poteat
- Date: Jan 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
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Design and Pricing of Tiered Network Health Plans
Design and Pricing of Tiered Network Health Plans This article discusses the advantages, logistical ... quality and cost-effectiveness standards. Accountable care organizations= ACO;Assumptions;Behavioral econo ...- Authors: Peter Horman
- Date: May 2009
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Modeling & Statistical Methods
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Research Paper Review: “Measuring Consumer Valuation of Limited Provider Networks”
Research Paper Review: “Measuring Consumer Valuation of Limited Provider Networks” The Behavioral ... and narrow networks. Behavioral economics;Managed care;Health insurance 6442468668 5/1/2016 12:00:00 ...- Authors: Brian Plaskow, John Kinney, Sarah Hoover
- Date: May 2016
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics; Health & Disability>Health insurance
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The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help?
The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help? This article ... Section News, March 2005, Issue No. 49. Health care quality;Health economics;Prescription drug costs; ...- Authors: Jonathan L Shreve, Jill Van Den Bos, John Watkins, Kristin Reed
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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ASOP No. 6 Exposure Draft Provisions Relating to Community-Rated HMO Contracts
ASOP No. 6 Exposure Draft Provisions Relating to Community-Rated HMO Contracts ASOP ... Discusses determination of initial per capita health care rates, effect on valuation results, accounting standards ...- Authors: Application Administrator
- Date: Jan 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice
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Current Issues In Stop Loss Market
presented two surveys of loss ratios from a sample of direct insur- ance writers. In his study from 1999, loss ... employers willing to make such a change with little direct benefit to them? The panel had a lively discussion ...- Authors: Daniel Wolak
- Date: Sep 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Reinsurance>Stop-loss insurance
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Calculation of IBNR Reserves with Low Variance
common methods used by actuaries practicing in health care finance shows that these methods yield, for the ... themselves to be suffi- ciently sick, seek out medical care by going to their doctor, or in some cases, the ...- Authors: Robert Lynch
- Date: Aug 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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Understanding ORSA: Risk, Solvency and Beyond
individual insurers writing at least $500 million in direct written and nonaffiliate assumed premium are subject ... insurance groups writing at least $1 billion in direct written and nonaffiliate assumed premium are also ...- Authors: Elisabetta Russo, Lee H Resnick, Jacky Kwan
- Date: Jan 2014
- Competency: Strategic Insight and Integration>Strategy development; 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: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk categories; Enterprise Risk Management>Risk measurement - ERM; Finance & Investments>Risk measurement - Finance & Investments
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Moneyball and the Actuarial Profession
SECTION NEWS AN ACTUARIAL RESPONSE TO THE HEALTH CARE CRISIS | FROM PAGE 9 Moneyball and the Actuarial ... and long-time baseball and can work for health care. Thus, just as it does for food and shelter, the ...- Authors: Kurt Wrobel
- Date: Apr 2004
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Experience Studies & Data
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Using the Internet as a Pricing Tool
change goes into effect?” If there is only one primary payor, then the answer lies in the applicable contractual ... Medicaid populations can be found on the Health Care Financing Administration site. (http://www.hcfa ...- Authors: Application Administrator
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Technology & Applications