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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 Unpaid, Issue No. 38 Health reserves; 9367 8/1/2000 12:00:00 AM ...- 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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The Actuary and Health Insurance Mergers and Acquisitions
The Actuary and Health Insurance Mergers and Acquisitions Actuarial appraisal and role of the actuary with regards to Health Insurance Mergers and Acquisitions. Issue No. 40. Assumptions;Mergers ...- 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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Hospital Charges Become ASignificant Issue Again
Hospital Charges Become ASignificant Issue Again Hospitals, through consolidation and affiliations, gaining back negotiation strenght lost due to managed care in the 80s and 90s. Charges vary ...- Authors: John Cookson
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Design and Pricing of Tiered Network Health Plans
Design and Pricing of Tiered Network Health Plans This article discusses the advantages, logistical concerns, and pricing formulas of implementing a TNHP, in which members pay less for treatment ...- Authors: Peter Horman
- Date: May 2009
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Modeling & Statistical Methods
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2008 Employer Stop Loss Survey Identifies TPA criteria for ESL partners
2008 Employer Stop Loss Survey Identifies TPA criteria for ESL partners This article overviews the results of the 2008 survey of Third Party Administrators of Employer Stop Loss business.- Authors: Steve Fedele, Claudia Scott
- Date: Nov 2008
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Reinsurance News
- Topics: Health & Disability>Health insurance
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Developing a Population Health Management Program for a Long-Term Care Insurance Product
Developing a Population Health Management Program for a Long-Term Care Insurance Product Medical management programs have traditionally addressed more acute and short-term issues with chronic ...- Authors: Jeff Underhill, Don Fetterolf, Geoffrey Walton
- Date: Dec 2007
- Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Health risks; Long-term Care>Chronic health management - Long-term Care; Technology & Applications>Analytics and informatics
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A Practical Method for Incorporating Pended Claims in Medical IBNR Estimates
A Practical Method for Incorporating Pended Claims in Medical IBNR Estimates Incorporating Pended Claims in Medical IBNR Estimates. Issue No. 45. Health reserves;Modeling efficiency;Predictive ...- Authors: Peter Reilly
- Date: Apr 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Modeling & Statistical Methods>Estimation methods
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Incurred Health Claims:One Lag Report is Not Enough
Incurred Health Claims:One Lag Report is Not Enough Discussion of methods to estimate unpaid claim liability UCL for health plans. Includes traditional IBNR lag method and a lag method based on ...- 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
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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 to help serve its members in this age of increased financial oversight, the Health Section of ...- 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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What is Critical Illness Insurance?
What is Critical Illness Insurance? Features of Critical Illness products Assumptions;Product development; 11165 5/1/2003 12:00:00 AM ...- Authors: Susan Kimball
- Date: May 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Small Talk
- Topics: Health & Disability>Critical illness insurance