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  • Chairperson's Corner
    Corner By Sarah Osborne Have you ever been part of an event and just known that you had witnessed something ... his final drop in the half- pipe at the Olympics this winter, I sat on the edge of my seat, holding my ...

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    • Authors: Sarah Osborne
    • Date: Jun 2018
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Managing Population Health
    2016 HEALTH WATCH According to the Institute of Medicine (IOM), the U.S. health care system wastes an ... annually.1 By comparison, for the past several years the annual amount spent by the federal government has ...

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    • Authors: Daniel Pribe
    • Date: May 2016
    • Competency: Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
    codes to CMS will result in a higher risk score for the member and increased payments to Medicare Advantage ... Milliman's HCC prevalence study illustrates the significant variations in HCC prevalence rates by ...

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    • Authors: Corey Berger, Eric P Goetsch
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
  • Incurred Health Claims:One Lag Report is Not Enough
    Incurred Health Claims:One Lag Report is Not Enough Discussion of methods to estimate unpaid ... Health Claims:One Lag Report is Not Enough Discussion of methods to estimate unpaid claim liability UCL for ...

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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
  • CHAIRPERSON’S CORNER: Untapped Opportunities for Actuaries in Health
    Untapped Opportunities for Actuaries in Health Summary of SOA initiative on preparing and positioning actuaries ... move into new roles which are becoming available as the health care industry changes. Analytics and informatics;Health ...

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    • Authors: Susan Pantely
    • Date: May 2010
    • Competency: Communication; External Forces & Industry Knowledge>General business skills; Leadership>Change management; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Professional development; Experience Studies & Data; Health & Disability>Health information technology
  • Chairperson's Corner
    Chairperson's Corner Update from the Health Section Council Chairperson on council activities. ... Chairperson's Corner Update from the Health Section Council Chairperson on council activities. Health ...

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    • Authors: Karen Shelton
    • Date: Mar 2019
    • Competency: Leadership>Professional network leverage; Leadership>Thought leadership
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional development
  • Why Everyone Hates HMOs
    Richard Huber, the former CEO of Aetna, had both the fortune and misfortune to run a company in the over-regu- ... over-regu- lated health care industry, where the cus- tomer feedback loop is measured in decades. In unregulated ...

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    • Authors: Gerry Smedinghoff
    • Date: Dec 2000
    • Competency: Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance
  • Chairperson’s Corner
    Chairperson’s Corner This article by the Chairperson thanks the Health Section Council, ... Corner This article by the Chairperson thanks the Health Section Council, names the members serving as coordinators ...

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    • Authors: Karl Volkmar
    • Date: Aug 2005
    • Publication Name: Health Watch
  • Combining an Actuarial and an Underwriting Approach
    T he essence of our profession is to reach a conclusion through an objective analysis of available data ... data. For much of my career I felt this was the only viable approach. After assuming respon- sibility ...

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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
  • Medicare Risk Funding
    Medicare Risk Funding Two Medicare risk ... funding provisions that were radically changed by the BBA of 1997 funding variations by geographic area and ...

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    • Authors: David Wille
    • Date: Dec 1998
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Public Policy; Social Insurance>Medicare