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Better Care Through Understanding the Customer Not Just the Patient
As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical data. That information is captured while patients are in health care facilities. Yet ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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2023-health-meeting-session-5b
Much of the work performed by disability insurance actuaries depends on the availability of accurate and detailed data, which is not always as simple as it sounds. Explore a variety of data ...- Authors: Society of Actuaries
- Date: Jan 2024
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Modeling & Statistical Methods; Predictive Analytics
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2023-health-virtual-s05c
"Risk adjustment (RA) is a key component for CMS Medicare Advantage program and California Medicaid Managed Care program. While both RA programs follow generally accepted basic principles at ...- Date: Jan 2024
- Competency: Professional Values
- Topics: Health & Disability; Predictive Analytics; Social Insurance
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Social, Physical and Cultural Determinants of Health: Their Incorporation into Actuarial Data and Workstreams
Social, Physical and Cultural Determinants of Health: Their Incorporation into Actuarial Data and Workstreams This report provides actuaries and other professionals working with risk, data and ...- Authors: Rebecca Owen, Sara Teppema, Society of Actuaries
- Date: Apr 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
- Topics: Health & Disability; Predictive Analytics