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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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Evaluating ACO Efficiency: Risk Adjustment within Episodes
Evaluating ACO Efficiency: Risk Adjustment within Episodes This study aims to answer the question of how much of an episode’s cost and use of specific services can be attributed to the patient’s ...- Authors: 0745 - Washington SN DC
- Date: Oct 2013
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Health risks
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Implications of the Cost of End of life Care: A Review of the Literature
Implications of the Cost of End of life Care: A Review of the Literature The objective of this project is to summarize the existing literature on end of life issues of interest to actuaries, and ...- Authors: MARTIN HALEK
- Date: Dec 2012
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care
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Hospice Care Research: An Analysis of End-of-Life Costs for Terminally Ill Medicare FFS Cancer Patients
Hospice Care Research: An Analysis of End-of-Life Costs for Terminally Ill Medicare FFS Cancer Patients A report analyzing the cost of care for deceased cancer patients over the last six months ...- Authors: William Bednar, Joshua Axene
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care
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Illustrative Forecasts of the Impact of COVID-19 on Health Care Costs
Illustrative Forecasts of the Impact of COVID-19 on Health Care Costs The Society of Actuaries has developed and released a health care forecast model to illustrate the potential impact of the ...- Authors: Society of Actuaries
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health care
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2021 Health Care Cost Model: Documentation of Inputs and Assumptions
2021 Health Care Cost Model: Documentation of Inputs and Assumptions The purpose of this document is to inform the user of the 2021 Health Care Cost Model about the sources of data, other ...- Authors: Society of Actuaries
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health care
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The Troubled Healthcare System in the US
The Troubled Healthcare System in the US The Society of Actuaries Health Benefit Systems Practice Advancement Committee sponsored this review of recent academic literature on the US healthcare ...- Authors: A Hemphill, Frank Vilardo, Autumn Workman
- Date: Aug 2003
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care
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Evaluating Payment Models for High-Cost Curative Therapies
Evaluating Payment Models for High-Cost Curative Therapies This report evaluates alternative payment models that potentially could be instituted by healthcare payers and manufacturers. Health ...- Authors: Didier Serre, Joanne L Buckle, Jessica Marie Naber, Anne M Jackson
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Payment models
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Literature Search Results: For the International Compendium of Health Behavior
Literature Search Results: For the International Compendium of Health Behavior This project shows how to use agent-based models to simulate the behaviors of agents in complex health systems.- Authors: Alan Mills
- Date: Jun 2013
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health care
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Evaluating ACO Efficiency: Risk Adjustment within Episodes - Appendixes
Evaluating ACO Efficiency: Risk Adjustment within Episodes - Appendixes Appendixes for the Evaluating ACO Efficiency: Risk Adjustment within Episodes study. The study aims to answer the question ...- Authors: 0745 - Washington SN DC
- Date: Oct 2013
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Health risks