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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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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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Seasonal Flu Impacts: Flu Science Meets Actuarial Science
Science Meets Actuarial Science By Bethany McAleer The seasonal flu comes every year with very broad (and ... cost implications. As individuals, our interest in the flu is focused on making sure we’re following recommendations ...- Authors: Bethany McAleer
- Date: Oct 2018
- Competency: 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 care
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Over the Counter Drugs, theNew Tier Zero in Your PharmacyBenefit Plan
Over the Counter Drugs, theNew Tier Zero in Your PharmacyBenefit Plan With many pharmacy benefit plans ... and discussion also needs to be given to the other end of the pharmacy cost spectrum to see how costs ...- Authors: Steven D Berna
- Date: Sep 2006
- 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
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Pricing Aggregate Stop-Loss Coverage
T I O N NE W S8 JUNE 2002 1. Find the members that represent the target popula- tion for risk management ... low-cost in the prior twelve months”. These members are found from the traditional sources of medical claims ...- Authors: Charles S Fuhrer
- 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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Hospital Charges Become ASignificant Issue Again
Hospital Charges Become ASignificant Issue Again Hospitals, through consolidation and affiliations, ... negotiation strenght lost due to managed care in the 80s and 90s. Charges vary significantly by area ...- 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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Critical Illness Overview - 2015 Update
Critical Illness Overview - 2015 Update Article Description * A review of Critical Illness ... Article Description * A review of Critical Illness products in the market and product design and pricing ...- Authors: Rex Durington
- Date: Dec 2015
- Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development; Health & Disability>Critical illness insurance
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What’s New on the RxManagement Horizon?
New on the RxManagement Horizon? Health Section News, August 2005, Issue 50 which discusses the effective ... management of prescription drug utilization and coverage that continue to represent one of the biggest challenges ...- Authors: JEFF ALLAN SCHULTE
- Date: Aug 2005
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Commercial Health Care: What’s Next?
Commercial Health Care: What’s Next? This article contains a condensed summary and ... and excerpts from a recent white paper regarding the Individual Mandate. health care reform;health economics;health ...- Authors: David Dillon
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Public Policy; Public Policy