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Examining Predictive Modeling–Based Approaches to Characterizing Health Care Fraud
performed. Many of the studies were performed in the U.S., but the health care fraud literature is international ... approach to improving the overall functioning of the U.S. health care system. 8 Copyright ...- Authors: Society of Actuaries, JING AI, Robert D Lieberthal, Rachel Wojciechowski, Skyla Smith
- Date: Mar 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Analysis of Health Carrier Insolvencies
Analysis ... relatively long time and (2) to identify the reason(s) that each company became financially impaired. Health ... 50- 40- 30- 20- 10- 0 3 4 5 6 ~U~S 8 ANALYSIS OF HEALTH CARRIER INSOLVENCIES 555 ...- Authors: James B Ross, Criss Woodruff
- Date: Oct 1995
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health insurance
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GAAP for Medicare Supplement Policies
original gross premiums. This means the original annuity factors will be applicable to the calculation ... 1-I [1 + r(s)] (I) ,., [ a(t) , . , N(O) II [1 + r(¢)] + r(t! v(t,O) ' -~ = H [1 + r(s)] (II) V(t ...- Authors: Alfred Raws
- Date: Oct 1990
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Transactions of the SOA
- Topics: Financial Reporting & Accounting>Generally Accepted Accounting Principles [GAAP]; Health & Disability>Health insurance
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Digest of Discussion at Concurrent Sessions - 1973 SOA Annual Meeting
GROUP L IFE AND HEALTH PROGRAMS D363 MR. RICHARD S. HESTER: Do I understand from Mr. Dymow- ski's remarks ... origins, in some respects, back in the middle 1960's when Medi- care was launched with the aid of benefit ...- Authors: Society of Actuaries
- Date: Oct 1973
- Competency: External Forces & Industry Knowledge
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance; Life Insurance; Life Insurance>Group plans - Life Insurance; Pensions & Retirement>Pension accounting
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Duration-Based Policy Reserves
Duration-Based ... Q) .> n" 100 50 ~r ~r ¸ ¢, 2 ¸ ~u= JH i i~• IH I ~ . . . . n =La- - J L ~ Nr l i ... divided by the present value of an increasing annuity that is based on the premium trend factor T~.- Authors: Application Administrator
- Date: Oct 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance
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Reserve Principles for Individual Health Insurance
in spite of the fact that mortality costs increased with age. Since mortality costs in later policy years ... years would exceed the mortality portion of the adopted level premiums, insurers were required to set ...- Authors: E Paul Barnhart, Spencer Koppel, Mark E Litow, Francis T O'Grady, Gary N See, Robert Shapland
- Date: Oct 1985
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health insurance
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A New Approach to Premium, Policy and Claim Reserves for Health Insurance
attempting construction of a disa- bility continuance table built on a theory of partial or conditional incurral ... probabilities of termination built into the continuance table itself. Again, it is the contract that resolves ...- Authors: E Paul Barnhart, David L Creswell, Judy C Engels, Charles Habeck, Anthony J Houghton, Mark E Litow, W H Odell, Claude Y Paquin, Robert Shapland
- Date: Oct 1985
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health insurance
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Entry into New Fields
broad cate- gories: group annuity plans and individual policy plans. Group annuity plans include both single ... deposit administration plans. Traditionally, group annuity plans provide the me- dium of funding for larger ...- Authors: Society of Actuaries
- Date: Jun 1959
- Competency: Strategic Insight and Integration
- Publication Name: Transactions of the SOA
- Topics: Annuities>Group plans - Annuities; Health & Disability>Health insurance; Life Insurance; Pensions & Retirement
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Developing Premium Rates for a Preferred Provider Organization [PPO]
Developing ... level. AC~ Upp lgnp e d bpp b,u, Xpp = X np -~ AC = U = p = p ' = b = VI. RATING FORMULA ... we developed the rate discount factor, is: P = (u ,AC,b) / ( l - e). Before we expand this formula ...- Authors: Thomas Handley
- Date: Oct 1985
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health insurance
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Digest of Discussion of Subjects of General Interest
however, reveals scarcely any calamitous mistakes, s This is not so strange, since intuitive strategies ... casualty nor the life companies anticipated the mortality implications of the auto- mobile. More recently ...- Authors: John C Angle, William H Breeze, J Stanley Hill, Richard H Hoffman, John D Hogan, John W Paddon, Paul E Singer
- Date: Jun 1966
- Competency: External Forces & Industry Knowledge
- Publication Name: Transactions of the SOA
- Topics: Actuarial Profession>Management skills; Health & Disability>Health insurance