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A Health Insurance Insolvency Case Study
A Health Insurance Insolvency Case Study Article ... discusses what happends when an insurer fails, role of the guaranty association and what is an ideal insolvency ...- Authors: Willis B Howard
- Date: Aug 2000
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies ... detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for fraud detection ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Risk Management
- Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
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Health Insurance Portability and Accountability Act - One Year Later
Later Panelists discuss the ongoing influence and long-term implications of the Health Insurance Portability ... Accountability Act on the health insurance market in the U.S. From the Record of the Society of Actuaries, Vol ...- Authors: Cecil Bykerk, Donna C Novak, Julie Walton
- Date: Oct 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Manufacturing Arrangements
Manufacturing Arrangements Discusses manufacturing arrangements between insurers. From the 1988 ... arrangements between insurers. From the 1988 Record of Society of Actuaries, Vol. 14, No. 4B. Marketing ...- Authors: Leonard Koloms, Thomas J Stoiber, Daniel Winslow, William R Sproul, Harry Taylor
- Date: Oct 1988
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Record of the Society of Actuaries
- Topics: Annuities; Health & Disability>Health insurance; Life Insurance
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Risk-Based Capital for Health Organizations
for Health Organizations Panelists report on the status of activities by national associations in regard ... insurers. From the Record of the Society of Actuaries, Vol. 24, No. 2. American Academy of Actuaries=AAA;Health ...- Authors: Julia T Philips, Donna C Novak, Steven Wander
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Health insurance; Health & Disability>Health risks
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Proposed Health Reserve Standards - A Dissenting Viewpoint
rationale for his disagreement with the latest draft proposal of reserve standards for health insurance ... insurance that is being considered by the NAIC for adoption. Health reserves; 12782 11/1/1987 12:00:00 AM ...- Authors: Robert Shapland
- Date: Nov 1987
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance
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Health Watch, February 2018, Issue 85
Health Watch, February 2018, Issue 85 Read the February 2018 issue of Health Watch, published ... 2018, Issue 85 Read the February 2018 issue of Health Watch, published by the Health Section. Practical ...- Authors: Society of Actuaries
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Non-Parametric Regression with a Functional Independent Variable
Actuarial Research Conference 8/9/2003, University of Michigan, Ann Arbor, Michigan. Pricing health insurance ... density estimation of the charge level distribution and also kernel smoothing between the reimbursement function ...- Authors: Charles S Fuhrer
- Date: Sep 2008
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Estimation methods
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Hot Topics in Individual Disability Income Charts
Hot Topics in Individual Disability Income Charts Charts for Session Maui II 78PD Hot Topics in Individual ... Individual Disability Income. From the Record of the Society of Actuaries, Vol. 24, No. 2. Claims ...- Authors: Anne Mitchell, Michael B Koopersmith, Jon M Piano, Kevin Farley, Henry Yi
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance
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Bonus!
Bonus! The article explores how deeply the Affordable Care Act reduced the Medicare Advantage benchmark ... benchmark payment rates and quantifies how much of that reduction Medicare Advantage Organizations earned ...- Authors: Bradley James Piper, Julia Friedman
- Date: Apr 2016
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health care quality; Health & Disability>Health insurance; Social Insurance>Medicare