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  • Medicare Advantage risk scores – Are you competitive?
    Medicare ... Non-Duals Duals Av er ag e N um be r o f H CC s Member Category Average Number of HCCs Per Member ... 4 95 –9 9 Av er ag e N um be r o f H CC s Age Group Average Number of HCCs Per Member by Age ...

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    • Authors: Corey Berger
    • Date: Oct 2018
    • Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
  • An Actuarial Model to Improve Health and Reduce Costs
    Beckman Chronic disease accounts for 86 percent of U.S. health care costs and an ever-increasing share of ... Diabetes Association, Economic Costs of Diabetes in the U.S. in 2012, http://care.diabetesjournals.org/cont ...

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    • Authors: Ken Beckman
    • Date: Oct 2017
    • Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
  • Defining Best-In-Market Health Opportunities
    Marketing Moderator: DALE H. YAMAMOTO Panelists: MINDY S. KAIREYt Recorder: DALE H. YAMAMOTO Summary: Health ... it all in the past, so, bear with us. Ms. Mindy S. Kairey: We're going to spend a little bit more than ...

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    • Authors: Dale Yamamoto, Mindy S Kairey
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
  • Simple and Effective Reserve Practices
    Weights = (XTX)−1XT y Applying this to the table below, the proposed future weights for these methods ... s/. Gamage, J., J. Linfield, K. Ostaszewski and S. Siegel. (2007, Oct. 31). Statistical Methods for ...

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    • Authors: Christopher Coulter, Dale Cap, Kevin McCoy
    • Date: Dec 2015
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science
  • Trends In Medical Benefit Plan Design To Control Claims Costs
    Health Care Development Project in the early 1970's to determine the feasibility of establishing one or ... seriously consider today. A great proportion of U.S. medical care cost is paid for people who are over ...

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    • Authors: Phyllis Doran, William J Hembree, David E Norton, Brent W Walker, David F McIntire
    • Date: Apr 1982
    • Competency: Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Medical Stop-Loss: A Multiyear Design
    AUGUST 1998 REINSURANCE SECTION NEWS PAGE 5 TABLE 1 Premiums versus Stop-Loss Recovery Stop-Loss ... data shown in Table 1 to help you determine the value of the program. “As shown in this table,“ the advisor ...

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    • Authors: John Dawson
    • Date: Aug 1998
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Reinsurance News
    • Topics: Actuarial Profession>Alternative careers; Health & Disability>Health insurance
  • Entrepreneurial Actuaries in Action—A Global Perspective of the Health Insurance Market
    different products available, various delivery systems (U.S. vs. international), health care reform, reinsurance ... although other countries are ranked higher than the U.S. system in controlling costs, they also had longer ...

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    • Authors: Michael Frank
    • Date: Jan 2013
    • Competency: Communication>Oral communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Mentoring; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Global Perspectives>Global markets; Health & Disability>Health insurance
  • Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
    we exceed the tar- get. For example, as shown in Table 1, the hospital provider partner can exercise a ... their relevance and viability in the market. Table 1 Partner at Risk Service Category target (pmpm) ...

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    • Authors: Edward Cymerys
    • Date: May 2013
    • Competency: Relationship Management>Relationships and trust; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Payment models
  • Mining Electronic Health Records to Achieve the Triple Aim
    Mining Electronic Health Records to Achieve the Triple Aim Mining Electronic Health Records using ... to Achieve the Triple Aim By Lillian Dittrick A s a predictive analytics leader, I apply my traditional ...

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    • Authors: Lillian Dittrick
    • Date: Mar 2017
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Predictive Analytics
  • Trends In Medical Benefit Plan Design To Control Claim Costs
    health care." The third quote is by the Chairman of U.S. Steel, David M. Roderiek, in a publication put out ... there. I refer you to the May 17, 1982 issue of U.S. News & World Report, There is a rather graphic article ...

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    • Authors: Application Administrator, Peter B Hutzel, Jerry E Lusk, James Miles
    • Date: May 1982
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance