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Actuarial Aspects Of Medical Effectiveness Report Complete
Actuarial Aspects Of Medical Effectiveness Report Complete Synopsis of the report of the SOA Medical Effectiveness Task Force, which discusses the concept of health plan performance measurement ...- Authors: Jeffrey Allen
- Date: May 1995
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance
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Health Renewal Rating
Health Renewal Rating This session discussion is about pros and cons of the NAIC recommended rate filing guidelines, pros and cons of renewal rating practices of MET and individual major medical ...- Authors: Ernie Frankovich, John A Hartnedy, Susan Marsh, W H Odell, David V Smith, Linda Ziegler
- Date: Apr 1990
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Evaluating Managed Care Networks
Evaluating Managed Care Networks This session discusses various techniques for evaluating the success of an existing network as defined by profitability, risk exposure and long-term viability.- Authors: Steven J Gaspar, Robert Parke
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Health Organization Risk-Based Capital
Health Organization Risk-Based Capital Presented at September 1995 Valuation Actuary Symposium. Discusses the Health Organization Risk-Based Capital formula. Health maintenance organization= ...- Authors: Peter Lynn Perkins, Michael Thompson, William J Thompson, Robert E Wilcox, Donna C Novak
- Date: Sep 1995
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Enterprise Risk Management>Capital management - ERM; Health & Disability>Health insurance
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Health Program Experience Analysis
Health Program Experience Analysis Presented at April 1986 Spring Meeting. This session discussion is about what analysis is effective in measuring recent medical care experience and are the ...- Authors: Gregory N Herrle, Van Jones, F Kevin Russell, Clark Slipher, Richard D Stover
- Date: Apr 1986
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Technology & Applications>Analytics and informatics
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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; 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: Risk Management
- Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
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A Comparison of Risk Scoring Recalibration Methods
A Comparison of Risk Scoring Recalibration Methods This article compares three potential approaches to determining new coefficients for health-based risk scoring models: full recalibration, ...- Authors: Geoffrey Hileman
- Date: Dec 2015
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Modeling & Statistical Methods>Regression analysis
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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 Finance subgroup of the Health Section will be publishing a series of literature reviews in ...- 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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Spotlight on Supplemental Health Products in the Worksite Market
Spotlight on Supplemental Health Products in the Worksite Market Two industry experts are interviewed about supplemental health insurance. Read what they have to say. By Jill Klibanov Marketing ...- Authors: Jillian Klibanov
- Date: May 2014
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: News Direct
- Topics: Health & Disability>Health insurance
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Non-Traditional Marketing: Products And Delivery
Non-Traditional Marketing: Products And Delivery Presented at May 1986 Spring Meeting. This session discussion is about credit card distribution systems, association endorsed marketing, direct ...- Authors: Joseph Fafian, John Ladley, Frank Minton, Harry Ploss, Howard L Steinberg
- Date: May 1986
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Life Insurance>Marketing and distribution - Life Insurance