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  • Applying Diagnosis-Based Predictive Models to Group Underwriting
    information to accurately measure expected health care consumption to support efficient alloca- tion of ... 38 million members who were eligible for health care insurance for at least 1 month in both 1997/98 (Year ...

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    • Authors: Randall P Ellis, Marilyn Kramer
    • Date: Aug 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Considerations in the Development of Area Factors
    Considerations in the Development of Area Factors Considerations in the Development of Area ... politi- cal and litigation threats against managed care are gaining momentum; prescription drug costs are ...

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    • Authors: David L Reichlinger
    • Date: Aug 2000
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Comparison of Risk Adjusters
    Comparison of Risk Adjusters Analysis of diagnosis and pharmacy-based methods of health ... medical diagnosis codes to adjust payments to managed care plans for Medicaid enrollees. Employers are using ...

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    • Authors: Robert Cumming
    • Date: Oct 2002
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Letter from the EditorGreetings to All Health Actuaries!
    Letter from the EditorGreetings to All Health Actuaries! Letter from the Editor Greetings to ... the basics, particularly as they apply to health- care and health insurance business. Bill Lane continues ...

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    • Authors: Jeffrey Miller
    • Date: Apr 2001
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Incurred Health Claims:One Lag Report is Not Enough
    What’s Normal vs. What’s Perfect Practicing health care actuaries know that there are many factors influencing ... 5 and in the actuarial liter- ature. The health care actuary who attempts to employ the development method ...

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    • Authors: Henry Frantz
    • Date: Apr 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability; Modeling & Statistical Methods