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  • A Practical Method for Incorporating Pended Claims in Medical IBNR Estimates
    A Practical Method for Incorporating Pended Claims in Medical IBNR Estimates Incorporating Pended ... reserves, while not as long tailed as long term care or disability income insurance contracts, can be ...

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    • Authors: Peter Reilly
    • Date: Apr 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Modeling & Statistical Methods>Estimation methods
  • Is there currently an underwriting cycle?
    substantial federal grants under the Affordable Care Act (ACA) to enhance their rate review procedures ... for certain risks and given the current health care environment. This analysis considers the 1999–2011 ...

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    • Authors: Mark Shaw
    • Date: Jan 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Systematic risk; Health & Disability>Health insurance
  • Part One: A Short History of A New Product
    Part One: A Short History of A New Product Critical Illness Insurance properties, underwriting ... east are unable to get any traction with the major direct life insurance companies. Hard data covering annual ...

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    • Authors: Johan Lotter
    • Date: Dec 2000
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Critical illness insurance
  • A Brief Note About Pricing Aggregate Stop-Loss Coverage
    A Brief Note About Pricing Aggregate Stop-Loss Coverage The impact of benefit design on the ... Jeffrey D. Miller ....................... 12 Health Care Cost Trends 2002— An Insurer’s/Reinsurer’s View ...

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    • Authors: Robert G Mallison
    • Date: Jan 2002
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Reinsurance>Health reinsurance; Reinsurance>Stop-loss insurance
  • An Interview with Matt Weinstein
    An Interview with Matt Weinstein Insights on the use of humor and fun in the work place ... appreciation to the people there to let them know you care about them. Matt Weinstein is the founding president ...

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    • Authors: Mary Kindel Van der Heijde, Douglas Norris
    • Date: Sep 2010
    • Competency: Communication; Leadership>Mentoring; Relationship Management>Team leadership
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Actuarial Profession>Management skills
  • Operational Considerations in Predictive Modeling
    Operational Considerations in Predictive Modeling This article summarizes some of the operational ... appropriate exposure unit and matched together by a primary key. Now let’s add external data. It could take ...

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    • Authors: Christine Hofbeck
    • Date: May 2014
    • Competency: Results-Oriented Solutions>Actionable recommendations; Results-Oriented Solutions>Assess decision effectiveness
    • Publication Name: Health Watch
    • Topics: Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence
  • Medicare Advantage experience data: pitfalls and concerns beyond ASOP #23
    Medicare Advantage experience data: pitfalls and concerns beyond ASOP #23 Medicare Advantage ... accurately complete such an allocation. MAOs must take care to comply with CMS guidance. This will minimize ...

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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
  • Incurred Health Claims:One Lag Report is Not Enough
    What’s Normal vs. What’s Perfect Practicing health care actuaries know that there are many factors influencing ... 5 and in the actuarial liter- ature. The health care actuary who attempts to employ the development method ...

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    • Authors: Henry Frantz
    • Date: Apr 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability; Modeling & Statistical Methods