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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 ...- 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
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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 ...- 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
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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 ...- 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
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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 ...- 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
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The Actuarial Memorandum in Support of the Health Statement
The Actuarial Memorandum in Support of the Health Statement Preparing an effective actuarial ... rebate liability • No documentation of $0 Affordable Care Act (ACA) risk- adjustment amounts • The company ...- Authors: Annette James, Nancy Hubler
- Date: Oct 2018
- Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>General business skills; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance
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A Modern Approach to Traditional Reserving
A Modern Approach to Traditional Reserving This article relates to health insurance actuarial ... allocations for provider bonus accruals 3. Affordable Care Act (ACA) 3Rs—reinsur- ance and allocating claims ...- Date: May 2015
- Publication Name: Health Watch
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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 ...- 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