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  • Applying Diagnosis-Based Predictive Models to Group Underwriting
    Applying Diagnosis-Based Predictive Models to Group Underwriting Applying Diagnosis-Based Predictive Models that use medical and pharmacy claims to measure expected costs for Group Underwriting.

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    • Authors: Randall P Ellis, Marilyn Kramer
    • Date: Aug 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Comparison of Risk Adjusters
    Comparison of Risk Adjusters Analysis of diagnosis and pharmacy-based methods of health risk assessment. Issue No. 44. Medicare;Prescription drug costs;Risk adjustment; 9406 10/1/2002 12:00:00 ...

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    • Authors: Robert Cumming
    • Date: Oct 2002
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • 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 now considering whether to add a 4th tier for high priced specialty drugs, review and ...

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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
  • Estimating the Impact of Disease and Treatment on Life Expectancy
    Estimating the Impact of Disease and Treatment on Life Expectancy Analysis of the impact of disease progression and treatment on life expectancy provides perspective on the long term costs to the ...

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    • Authors: Tzu-Chun Kuo, Philipp Vetter
    • Date: Jan 2011
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Demography>Longevity; Health & Disability>Health care quality; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining
  • Automating the Underwriting Process
    Automating the Underwriting Process NewsDirect article that discusses the benefits of automating the underwriting process. Underwriting speed, the east of case submission and sales support stand ...

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    • Authors: Susie Cour-Palais
    • Date: Jan 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: News Direct
    • Topics: Life Insurance>Underwriting - Life Insurance; Technology & Applications>E-commerce; Health & Disability>Electronic medical record
  • Medicare Advantage experience data: pitfalls and concerns beyond ASOP #23
    Medicare Advantage experience data: pitfalls and concerns beyond ASOP #23 Medicare Advantage Organizations must consider influences both internal and external to the adjudication process as they ...

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    • Authors: Michelle Wahab, Shelby Weber
    • Date: Mar 2019
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health information technology; Social Insurance>Medicare; Technology & Applications>Data warehousing
  • What Is Critical Illness Insurance?
    What Is Critical Illness Insurance? Typical features of Critical Illness policies, and discussion of pricing, reserving, claims experience and regulations. Assumptions;Morbidity rates=Morbidity ...

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    • Authors: Susan Kimball
    • Date: Nov 2002
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Product Matters!
    • Topics: Health & Disability>Critical illness insurance
  • Leadership Learnings from the Affordable Care Act
    Leadership Learnings from the Affordable Care Act The editorial shares observations and lessons learned from the process of implementing the Affordable Care Act. Health care reform;Patient ...

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    • Authors: Karin Swenson-Moore
    • Date: Feb 2014
    • Competency: Leadership>Thought leadership; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: The Actuary Magazine
    • Topics: Actuarial Profession>Management skills; Health & Disability>Health care; Health & Disability>Health insurance
  • Combining an Actuarial and an Underwriting Approach
    Combining an Actuarial and an Underwriting Approach Combining an Actuarial and an Underwriting Approach, Issue No. 39. Underwriting; 9364 12/1/2000 12:00:00 AM ...

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    • Authors: David L Reichlinger
    • Date: Dec 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Estimating IBNR from Authorized Bed Days
    Estimating IBNR from Authorized Bed Days Estimating IBNR from Authorized Bed Days. Issue No. 40. Health reserves; 9384 4/1/2001 12:00:00 AM ...

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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
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