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Don’t Forget the Data
great deal of attention has been given to all health care prod- ucts. As the “cradle to grave” wel- fare ... suit. The Last Decade During the ‘90s, key health care products have had mixed fortunes. Critical illness ...- 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
per day of acute, sub-acute and other levels of care. Reviewing our historical inpa- tient costs, incurred ... the estimation method, costs include all inpatient care being esti- mated, and days are from the authorization ...- 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
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Chairperson's Corner
learn about the clinical matters underlying health care claims. The boot camps were a great success this ... increased educational focus on include: - The Affordable Care Act’s (ACA) impact on commercial pricing and reserving ...- 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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The Actuary and Health Insurance Mergers and Acquisitions
medicare supplement, disability, and long-term care business. This activity is likely to continue in ... companies such as a marketing company or managed care company may be part of the sale. The situation will ...- Authors: James O'Connor
- Date: Apr 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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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 ...- 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
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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 ...- Authors: Robert Cumming
- Date: Oct 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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Statistical Tools for Actuaries?First in New Series of Guides Available
Statistical Tools for Actuaries?First in New Series of Guides Available Recognizing an opportunity ... perspective. The guide includes an overview of health care liabilities and the completion factor method, as ...- Authors: Steven Siegel
- Date: Jan 2008
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Health Section Issues New IBNR Study
Health Section Issues New IBNR Study Summary of the health section council’s research project ... traditional lag, Paid PMPM, etc.) is applied. 6. Care should be taken in determining which IBNR method ...- Authors: Steven Siegel, Cabe Chadick
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Financial Reporting & Accounting; Health & Disability>Health care; Modeling & Statistical Methods>Modeling efficiency
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The Art & Science of Pricing Small Group Medical Coverage: Initial Pricing Schemes
David L. Reichlinger..................16 Health Care and the Role of the Actuary in Ireland by Aisling ... Rappaport....................23 Page The Managed Care Market - Current Status, Future Direction by Kevin ...- Authors: William Lane
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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The User Experience
The User Experience How can actuaries tailor their work to a target audience? This article explores ... are portrayed on the site. They choose their primary photo, can post updates as often as they’d like ...- Authors: Robert Lang, MICHAEL JOSEPH GILLESPIE, Evan Morgan
- Date: Jun 2017
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices