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Rethinking Family Tiers
Rethinking Family Tiers A closer look at family tier factor rating assumptions, and how well they reflect actual claim cost data. Assumptions;Family coverage;Health care costs; 25712 1/1/2011 12: ...- Authors: Kristi Bohn
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods>Data mining; Technology & Applications>Analytics and informatics
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Assessing Prescription Opioid Risk with Predictive Analytics
Assessing Prescription Opioid Risk with Predictive Analytics We highlight a new approach leveraging predictive analytics to identify high risk and rising risk opioid users for more effective ...- Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; 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: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
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Globalization of the Pharmaceutical Supply Chain: What are the Risks? The FDA’s Difficult Task
Globalization of the Pharmaceutical Supply Chain: What are the Risks? The FDA’s Difficult Task This article talks about the challenges facing the FDA, especially those arising from the ...- Authors: Jill Van Den Bos
- Date: May 2009
- Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Public Policy; Technology & Applications
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New Research Study Measurement of Health Care Quality and Efficiency: Resources for Health Care Professionals
New Research Study Measurement of Health Care Quality and Efficiency: Resources for Health Care Professionals Review of a research project, co-sponsored by the SOA, which examined 83 ...- Authors: Sara Teppema
- Date: Sep 2009
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Modeling & Statistical Methods>Data mining; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence
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Do Individuals Make Sensible Health Insurance Decisions
Do Individuals Make Sensible Health Insurance Decisions New research shows that we often make sub-optimal choices, when selecting a health insurance plan, that lead to unnecessary out-of-pocket ...- Authors: Alexander Leung, Jonah Yearick, Randy P Herman
- Date: Nov 2016
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics; Economics>Health economics; Health & Disability>Health insurance; Technology & Applications>E-commerce
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Medicare Advantage experience data: pitfalls and concerns beyond ASOP #23
Medicare Advantage experience data: pitfalls and concerns beyond ASOP #23 Medicare Advantage Organizations must consider influences both internal and external to the adjudication process as they ...- Authors: Michelle Wahab, Shelby Weber
- Date: Mar 2019
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health information technology; Social Insurance>Medicare; Technology & Applications>Data warehousing
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A Non-Traditional Actuarial Role
A Non-Traditional Actuarial Role Profile of an actuary in a non-traditional actuarial role: focusing on medical cost and analysis, both retrospective and prospective. Assumptions;Health care ...- Authors: Carolyn Young
- Date: May 2010
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Health & Disability>Health information technology; Modeling & Statistical Methods>Forecasting; Technology & Applications>Analytics and informatics
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Getting Actuaries More Engaged in Population Health
Getting Actuaries More Engaged in Population Health Introduction to population health, a collaborative discipline that seeks to leverage all the determinants of health personal behaviors, ...- Authors: Robert D Lieberthal
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Economics>Health economics; Health & Disability>Health care quality; Public Policy; Technology & Applications>Analytics and informatics
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Chairperson's Corner
Chairperson's Corner Update on Health Section research projects and topics, including new vision and mission statements for the Health Section Council, research and communications projects, ...- Authors: Judy L Strachan
- Date: May 2011
- Competency: Communication; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Experience Studies & Data; Public Policy; Technology & Applications>Analytics and informatics