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Why Qualitative Research is Key to Better Insurance Product Design
were strong and they had few barriers to access care they or their families needed. Of course, responses ... the cost of medical expenses related to routine care for mild issues. The problem is when more serious ...- Authors: Amanda B Turcotte ,
- Date: Oct 2021
- Competency: Leadership; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: News Direct
- Topics: Actuarial Profession
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Changing With the Times: The Past and the Future of ACA Risk Adjustment
drying on the Patient Protection and Affordable Care Act (ACA) legislation nearly a decade ago, issuers ... year.³ We then split each risk score into its primary components. Figure 1 shows two prominent patterns: ...- Authors: Jason Karcher , Cameron Kevin Gleed, Jason James Petroske
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Affordable Care Act (ACA)
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Market Trends
and assumes a duty to act in good faith and with care, candor, and loyalty in fulfilling the obligation ... Interest” of the retirement investor. Act with care, skill, prudence and diligence. Act without regard ...- Authors: Society of Actuaries, Matthew Coleman
- Date: Nov 2017
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Annuities>Equity-indexed annuities; Annuities>Fixed annuities; Annuities>Variable annuities
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Evaluating LTC Population Health Programs
Long-Term Care News, February 2023 The case for proactively managing current and future long-term care (LTC) ... delaying a transition from receiving care in the home to receiving care in assisted living or a nursing home ...- Authors: Jeff Anderson , Robert T Eaton, Missy Gordon, Brian Hartman, Joseph Long, Juliet Michelle Spector
- Date: Feb 2023
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Long-Term Care News
- Topics: Long-term Care>Chronic health management - Long-term Care; Modeling & Statistical Methods>Estimation methods
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A Unified Management and Capital Framework for Operational Risk
across risk types. For example, credit risk is the primary concern for most banks, but inadequate loan documentation ... on models and the quality of such models. The primary input is back-testing results against prede- termined ...- Authors: James Lam
- Date: Feb 2003
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Finance & Investments
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Gaining Trust in Predictive Models—an Actuarial Perspective
model, however, the choice of model is often the primary focus. Given the wide variety of possible options ... and false negatives is better. Data One of the primary factors in model selection will be the data. The ...- Authors: David Alison FSA (David)
- Date: Sep 2021
- Competency: Communication; External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: The Financial Reporter
- Topics: Predictive Analytics>Modeling techniques; Predictive Analytics>Quality control & model governance; Technology & Applications>Artificial intelligence & machine learning
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Life/Health technical session
Medical records Prescriptions Chatbots Websites Customer Care Agent Notes BIG potential for insurers to ... data and data products available Growth of direct to consumer offerings Global demand for personalized ...- Authors: Anilraj Pazhety
- Date: Nov 2018
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
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Diverse Risks and Considerations in Retirement
buying a home, child care and education, travel and recreation, health care and retirement. Enter ... in the future, particularly the cost of health care? Have I considered my Medicare eligibility and ...- Authors: Zenaida Samaniego
- Date: Feb 2017
- Competency: External Forces & Industry Knowledge; Relationship Management; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Pension Section News
- Topics: Pensions & Retirement>Retirement risks
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Provider Risk-Sharing and Random Noise
infrastructure. Pricing actuaries will need to estimate the direct effect of random fluctuations, the indirect effect ... Some- times Shi Accountability to HMOs. Managed Care, Dec. 1, 2000. https://www .managedcaremag.com ...- Authors: Thomas Messer
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Provider networks; Health & Disability>Provider risk
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The Actuary August/September 2015
NORTHEAST USA - LONG TERM CARE ACTUARY Ezra Penland is working on an FSA long term care pricing leader- ship ... especially sought. SOUTHWEST USA - LONG TERM CARE ACTUARY Long term care actuaries are being interviewed by a ...- Authors: Society of Actuaries
- Date: Aug 2015
- Competency: Communication; External Forces & Industry Knowledge; Leadership; Leadership>Mentoring; Professional Values; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Academic partnerships; Actuarial Profession>Alternative careers; Actuarial Profession>Best practices; Actuarial Profession>Code of Conduct; Actuarial Profession>Competencies; Actuarial Profession>Entrepreneurism; Actuarial Profession>Ethics; Actuarial Profession>Management skills; Actuarial Profession>Qualifications; Actuarial Profession>Professional associations; Actuarial Profession>Professional development; Actuarial Profession>Standards of practice; Actuarial Profession>Traditional careers