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Insurers Giving Away The Store With AggregatingSpecific Pricing
Insurers Giving Away The Store With AggregatingSpecific Pricing Adding aggregating specific provisions ...- Authors: Gregory J Sullivan, Matthew Condos
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Reinsurance>Stop-loss insurance
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HCFA & Medicare + Choice: Contract Year 2001 Changes
HCFA & Medicare + Choice: Contract Year 2001 Changes Outline of changes to the Adjust ... Choice: Contract Year 2001 Changes Outline of changes to the Adjust Community Rate ACR Proposal process ...- Authors: Anant Galande
- Date: Aug 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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Moneyball and the Actuarial Profession
Moneyball and the Actuarial Profession Author compares in-depth statistical review of baseball ... and the Actuarial Profession Author compares in-depth statistical review of baseball team to the actuarial ...- Authors: Kurt Wrobel
- Date: Apr 2004
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Experience Studies & Data
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Current Issues In Stop Loss Market
What are the current trends and issues facing the market as it regains profitability? The panel of Ray Marra ... Marra of The Hartford, Mike McLean of Medical Risk Managers (MRM), and Jerry Winkelstein, who is an independent ...- Authors: Daniel Wolak
- Date: Sep 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Reinsurance>Stop-loss insurance
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Using the Internet as a Pricing Tool
Using the Internet as a Pricing Tool Using the Internet as a Pricing Tool clinical background information ... information, defining the change in coverage, collecting data, data quality and data limitations. Issue No ...- Authors: Application Administrator
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Technology & Applications
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Assessing Prescription Opioid Risk with Predictive Analytics
Barbara Collier and Joseph Boschert According to the Centers for Disease Control and Preven-tion (CDC) ... more than 115 people die each day in the United States as a result of opioid over- dose and that prescription ...- 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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Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements
ACO budgeting and pricing of stoploss coverage, including: 1) attribution of members; 2) claim carve outs; ... stoploss terms; 4) providers gaming the system and 5) credibility of data. ;; Health care reform; Health ...- Authors: Anthony Rubiano
- Date: May 2012
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Health & Disability>Payment models; Public Policy
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Chairperson's Corner
Chairperson's Corner Recap of Health Section's 2014 events and member survey. ... Chairperson's Corner Recap of Health Section's 2014 events and member survey. Health economics ...- Authors: Donna Kalin
- Date: Jan 2014
- Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Don’t Forget the Data
Don’t Forget the Data Using data to develop reserves for Incurred Prior Paid After and Incurred but ...- Authors: Robert Bachler
- Date: Aug 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Estimating IBNR from Authorized Bed Days
accuracythan if estimated from member-ship, given the “right” business environment. This gives rise to ... confidence in current month expense estimates. The success of estimating from days is tied to many factors ...- Authors: Kevin L Pedlow
- Date: Apr 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care