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Comparison of Risk Adjusters
Comparison of Risk Adjusters Analysis of diagnosis and pharmacy-based methods of health ... medical diagnosis codes to adjust payments to managed care plans for Medicaid enrollees. Employers are using ...- Authors: Robert Cumming
- Date: Oct 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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Chairperson Corner
Chairperson Corner Description of the upcoming activities for the Health Section. 2/24/2020 12:00:00 ... does my marriage have to do with the Affordable Care Act (ACA) you ask? It is a strange connection; ...- Authors: Jacqueline Lee
- Date: Feb 2020
- Competency: Communication; Relationship Management
- Publication Name: Health Watch
- Topics: Actuarial Profession; Health & Disability
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Health Section Issues New IBNR Study
Health Section Issues New IBNR Study Summary of the health section council’s research project ... traditional lag, Paid PMPM, etc.) is applied. 6. Care should be taken in determining which IBNR method ...- Authors: Steven Siegel, Cabe Chadick
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Financial Reporting & Accounting; Health & Disability>Health care; Modeling & Statistical Methods>Modeling efficiency
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Quantile Regression - A New Actuarial Approach to Claims Estimation
distribution (due to better compliance with preventive care and maternity costs) but may not have a significant ... difference in cost at the 98th percentile (since care for many catastrophic diseases may not vary significantly ...- Authors: Robert Jason Reed (Jason)
- Date: Apr 2020
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Predictive Analytics; Health & Disability>Claims - Health & Disability; Predictive Analytics>Modeling techniques
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Will MedSupp Have “2020” Vision in the World of MACRA?
Recently passed legislation referred to as MACRA (Medi-care Access and CHIP Reauthorization Act of 20151) will ... modeling various reasonable scenarios of the Medi- care Supplement market, experience on policies issued ...- Authors: Kenneth Clark
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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HSAs and Account-Based Health PlansAn Overview of Preliminary Research
HSAs and Account-Based Health PlansAn Overview of Preliminary Research This article is an overview ... engage in healthy behaviors, such as preventive care and wellness programs; and • 20 percent more likely ...- Authors: Society of Actuaries
- Date: Sep 2006
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Adjusting the 1985 NAIC Cancer Claim Cost Tables for Inflation
Adjusting the 1985 NAIC Cancer Claim Cost Tables for Inflation Adjusting the 1985 NAIC Cancer ... on page 4, column 1 M The “Standard Plan” The primary reason for chosing “standard plan” was that a table ...- Authors: W Keith Sloan
- Date: Feb 1998
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data>Morbidity
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The Art & Science of Pricing Small Group Medical Coverage: Initial Pricing Schemes
David L. Reichlinger..................16 Health Care and the Role of the Actuary in Ireland by Aisling ... Rappaport....................23 Page The Managed Care Market - Current Status, Future Direction by Kevin ...- Authors: William Lane
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Looking Forward to Vancouver
Looking Forward to Vancouver Looking Forward to Vancouver by Daniel L. Wolak from Health ... valuation of medical and dental insurance and managed care products. Possible topics of discussion include: ...- Authors: Daniel Wolak
- Date: Apr 2003
- Publication Name: Health Watch
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Health Actuaries and the Short-term Prediction Problem
inherent complexity of predicting future health care costs in a relatively short time frame—particularly ... predictions far into the future—estimates of health care spending in 20 years or the expected deficit in ...- Date: May 2012
- Competency: Communication>Oral communication; Communication>Written communication; External Forces & Industry Knowledge>General business skills; Leadership>Influence; Professional Values>Practice expertise; Relationship Management>Relationships and trust; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Management partnership
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing