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A Road Map to MEPS—A FreeData Destination of the AHRQ
Component (MPC) and Insurance Component (IC). 2 0 | S e p t e m b e r 2 0 0 6 | Health Watch A Road ... Destination of the AHRQ by Steven Siegel Health Watch | S e p t e m b e r 2 0 0 6 | 2 1 Household Component ...- Authors: Steven Siegel
- Date: Sep 2006
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Economics>Health economics
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Navigating New Horizons …an interview with Eduardo Lara di Lauro
interview with Eduardo Lara di Lauro By Sarah Lawrence A s advances in technology and travel make this world ... per- sonnel. Unfortunately, circumstances in the U.S. changed quickly and the business venture was brought ...- Authors: Sarah Lawrence
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge; Leadership>Change management; Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession; Public Policy; Social Insurance>Government-funded healthcare
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Medicaid Innovation: The Need for Actuaries in the Medicaid Program
– – – – 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015* Millions of Medicaid Beneficiaries ... Health Spending Given its important role in the U.S. health care system over the past 50 years, it is ...- Authors: Christine Bach
- Date: May 2016
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid
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Adjusting the 1985 NAIC Cancer Claim Cost Tables for Inflation
used for policies with higher limits. The cancer table formulas for adjusting claim costs for changes in ... during the experience period underlying the table. The cancer table formu- las appear to anticipate that provider ...- Authors: W Keith Sloan
- Date: Feb 1998
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data>Morbidity
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The Art & Science of Pricing Small Group Medical Coverage: Renewal Pricing
care resources in a year will have a very high mortality rate as a group. This is true of large employers ... small employers. The categories are as shown in the table below. For the sake of clarity, let’s assume that ...- Authors: William Lane
- Date: Apr 2001
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Data Quality in Real Life
Data Quality in Real Life Discussion of the standards set by ASOP 23 on data quality within a health ... an excerptfrom an article I wrote for theAugust 2000 edition of theHealth Section News: “Many times, ...- Authors: Karl Volkmar
- Date: Sep 2001
- Competency: Professional Values>Ethical standards; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Health & Disability
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
improve credibility enough that a larger provider's own prior period experience can be used directly, ... for providers to trust. Questions of the form “it's not clear or fair that I should be measured based ...- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Navigating New Horizons ... an Interview with Nancy Walczak
treat- ments can be modeled as if they are an annuity. “They are simply a stream of future cash flows ... of new technologies, it really looks like an annuity in that you will make adjustments for survival ...- Authors: Sarah Lawrence
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
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Quantile Regression - A New Actuarial Approach to Claims Estimation
trended to a future rating period as shown in Table 1. Table 1 Trended Two-year Claim Experience for Group ... claims distribution that experience represented, as Table 2 illustrates. Based on this information, you might ...- Authors: Robert Jason Reed (Jason)
- Date: Apr 2020
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Predictive Analytics; Health & Disability>Claims - Health & Disability; Predictive Analytics>Modeling techniques
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Is Your Integrated Delivery System Throwing Away Free Money?
bid characteristics and plan financials shown in Table 1. We have highlighted the key numbers in dark ... increase by $26.25 PMPM (highlighted in yellow in Table 2). Since CMS funds these claims, the increased ...- Authors: Karan Rustagi
- Date: Feb 2018
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development; Health & Disability>Payment models; Social Insurance>Medicare