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Evaluating Managed Care Networks
Evaluating Managed Care Networks This session discusses various techniques for evaluating the success of an existing network as defined by profitability, risk exposure and long-term viability.- Authors: Steven J Gaspar, Robert Parke
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Health Organization Risk-Based Capital
Health Organization Risk-Based Capital Presented at September 1995 Valuation Actuary Symposium. Discusses the Health Organization Risk-Based Capital formula. Health maintenance organization= ...- Authors: Peter Lynn Perkins, Michael Thompson, William J Thompson, Robert E Wilcox, Donna C Novak
- Date: Sep 1995
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Enterprise Risk Management>Capital management - ERM; Health & Disability>Health insurance
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Actuarial Aspects Of Medical Effectiveness Report Complete
Actuarial Aspects Of Medical Effectiveness Report Complete Synopsis of the report of the SOA Medical Effectiveness Task Force, which discusses the concept of health plan performance measurement ...- Authors: Jeffrey Allen
- Date: May 1995
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance
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A Comparative Analysis of Methods of Health Risk Assessment: List of Tables
A Comparative Analysis of Methods of Health Risk Assessment: List of Tables List of Tables. From A Comparative Analysis of Methods of Health Risk Assessment, M-HB96-1. Health care costs;Risk ...- Authors: John Bertko, Alice Rosenblatt, Thomas J Stoiber, Peter Braun, Daniel Dunn, Eric Alexander Latimer, Deborah A Taira, Susan Busch
- Date: Oct 1996
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Health & Disability>Health risks
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A Comparison of Risk Scoring Recalibration Methods
A Comparison of Risk Scoring Recalibration Methods This article compares three potential approaches to determining new coefficients for health-based risk scoring models: full recalibration, ...- Authors: Geoffrey Hileman
- Date: Dec 2015
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Modeling & Statistical Methods>Regression analysis
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Spotlight on Supplemental Health Products in the Worksite Market
Spotlight on Supplemental Health Products in the Worksite Market Two industry experts are interviewed about supplemental health insurance. Read what they have to say. By Jill Klibanov Marketing ...- Authors: Jillian Klibanov
- Date: May 2014
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: News Direct
- Topics: Health & Disability>Health insurance
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Group Pricing, Product, and Marketing Adaptations To An Inflationary Economy
Group Pricing, Product, and Marketing Adaptations To An Inflationary Economy This presentation was made at the SOA 1975 New York Spring meeting. It discusses the actuarial techniques required to ...- Authors: Harper L Garrett, Jay C Ripps
- Date: Apr 1975
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability; Life Insurance>Group plans - Life Insurance
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The Lowly Loss Ratio
The Lowly Loss Ratio Loss ratio formulas that make it a good tool for financial analysis, with modifications for level premium business such as disability income and long term care. Loss ...- Authors: Paul Margus
- Date: Dec 2007
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: The Financial Reporter
- Topics: Health & Disability
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Calculation of IBNR Reserves with Low Variance
Calculation of IBNR Reserves with Low Variance Calculation of IBNR Reserves compares IBNP lag method to Incurred Claims PMPM method which produces lower Variance. Issue No. 46. Health reserves; ...- Authors: Robert Lynch
- Date: Aug 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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What’s New on the RxManagement Horizon?
What’s New on the RxManagement Horizon? Health Section News, August 2005, Issue 50 which discusses the effective management of prescription drug utilization and coverage that continue to ...- Authors: JEFF ALLAN SCHULTE
- Date: Aug 2005
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care