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  • Credibility Theory for the Health Actuary:The Need for an Inter-Company Experience Study
    Credibility Theory for the Health Actuary:The Need for an Inter-Company Experience Study Key ... Theory for the Health Actuary:The Need for an Inter-Company Experience Study Key aspects of credibility ...

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    • Authors: James Robinson
    • Date: Apr 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • 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 ...

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    • 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
  • 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 ...

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    • 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
  • The Bottom Line on BehavioralHealth Care Costs
    The Bottom Line on BehavioralHealth Care Costs This article reviews the cost of behavioral health care ... care and looks at how the involvement of Primary Care Physicians leads to a less efficient and effective ...

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    • Authors: Stephen P Melek
    • Date: Mar 2005
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • 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 ...

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    • 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
  • 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 ...

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    • 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
  • 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 ...

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    • 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
  • Predictive Modeling: Considerations for Care Management Applications
    Predictive Modeling: Considerations for Care Management Applications Considerations in ... Management Applications Considerations in the applications of Predictive Modeling for health care management ...

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    • Authors: Keith Passwater, Brent Seiler
    • Date: Apr 2004
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • 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 ...

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    • 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
  • 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 ...

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    • 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