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Health Watch, May 2011, Issue 66
December 2010, HHS released interim final regulations (IFRs) to implement the MLR requirements under ACA. In ... submitted comments1 addressing technical aspects of the IFRs to improve clarity and internal consistency, including ...- Authors: Society of Actuaries
- Date: May 2011
- Publication Name: Health Watch
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Comparison of Risk Adjusters
Issue No. 44 HEALTH SECTION NEWS | OCTOBER 2002 | 17 We recently finished a research projectthat compares ... SECTION NEWS COMPARISON OF RISK ADJUSTERS | FROM PAGE 17 Bob Cumming, FSA, MAAA, is principal with Mill ...- Authors: Robert Cumming
- Date: Oct 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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Health Section Issues New IBNR Study
Health Section Issues New IBNR Study ... alternative business situations. (See box on page 17 for a listing of the IBNR methods which were tested ... ssiegel@soa.org. Health Watch | FEBRUARY 2010 | 17 ...- Authors: Steven Siegel, Cabe Chadick
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Financial Reporting & Accounting; Health & Disability>Health care; Modeling & Statistical Methods>Modeling efficiency
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Health Section News, April 2003, Issue No. 45
Health Section News, April 2003, ... 0 0 1 10 /2 0 0 1 P re -N o v 0 0 6 ,5 17 ,3 77 0 0 0 0 0 0 0 0 0 0 0 0 11 /2 0 0 ... 0 0 0 5 /2 0 0 1 3 3 ,9 9 6 3 6 ,4 9 4 17 ,6 3 1 13 4 ,5 5 6 3 5 7, 0 2 1 6 6 7, 3 ...- Authors: Application Administrator, John Cookson, Henry Frantz, William Lane, Jeffrey Miller, Daniel Wolak, Bruce Pyenson, Peter Reilly
- Date: Apr 2003
- Publication Name: Health Watch
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Improving Medicare Advantage Star Ratings: An Analytical Framework
uments-Items /2018Advance.html (accessed August 17, 2018). 2 Centers for Medicare and Medicaid Services ... -Ratings-Technical-Notes-2017_09_06.pdf (accessed August 17, 2018). 3 Centers for Medicare and Medicaid Services ...- 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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The State of Predictive Analytics in U.S. Health care
mgmt 9% Info mgmt 10% Operations mgmt 17% Case mgmt 17% Finance mgmt 20% Medical clinics/Groups ... mgmt 9% Info mgmt 10% Operations mgmt 17% Case mgmt 17% Finance mgmt 20% Medical clinics/Groups ...- Authors: Marilyn Medved McGaffin
- Date: Nov 2016
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Predictive Analytics
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ORSA 101 for Health Actuaries
” Health Affairs Blog, Nov. 17, http://healthaffairs.org/blog/2014/11/17/how-consumers-might-game-the-90-day- ... grace-period-and-what-can-be-done-about-it/, retrieved Feb. 17, 2016. 9 http://us.milliman.com/uploadedFiles/i ...- Authors: Daniel Perlman, Douglas Norris
- Date: May 2016
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks
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Pharmacoeconomics: Why ShouldActuaries Care?
the Medical Device Industry by Robert McCarthy 17 Comparison of Risk Adjusters by Bob Cumming 19 ... this case. The total decision tree has 17 nodes in it for 17 different drug treatments. Figures 1 and ...- Authors: Jill Van Den Bos
- Date: Oct 2002
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Economics>Health economics
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Accountable Care Organizations: An Untapped Opportunity
Accountable Care Organizations: An Untapped Opportunity Since health care reform has made accountable ... Health Affairs Blog, August 17, 2009, http://healthaffairs.org/blog/2009/08/17/the-accountable-care- or ...- Authors: Jim Toole, Sara Teppema
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
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Understanding the Economicsof Disease ManagementPrograms
FROM PAGE 15 HEALTH SECTION NEWS | AUGUST 2003 | 17 UNDERSTANDING THE ECONOMICS... (continued on page ... etc. UNDERSTANDING THE ECONOMICS... | FROM PAGE 17 HEALTH SECTION NEWS | AUGUST 2003 | 19 Example ...- Authors: Ian G Duncan
- Date: Aug 2003
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care