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Network News
subject to a single or two dominant provider group(s). The larger the market, the more competitive it ... option. Table 1 shows a sample network discount calculation for employer stop loss coverage. Table 1 Hospital ...- Authors: Mark Troutman
- Date: Aug 2019
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Reinsurance News
- Topics: Health & Disability
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The Actuary Vol. 27, No. 6 Psychiatric Disability Claims: Problem or Opportunity?
Doll on “LHATF Report on Life Insurance and Annuity Projects” also ran in that issue. The Section ... social skills, or poverty, which contribute ADL* skU¡s, whích re- to unemployment &nd strict one’s residential ...- Authors: RICHARD LESTER LEWIS
- Date: Jun 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: The Actuary Magazine
- Topics: Health & Disability
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Health Care Cost Trends Request for Proposals - Risk Adjustment
funding requirements, the ability of the applicant(s) to access any data needed. The qualifications (including ... relevant experience in industry) of the applicant(s) A timeframe for completion of the research LOIs will ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Health Care Cost Trends Request for Proposals – Behavioral Health
funding requirements, the ability of the applicant(s) to access any data needed. The qualifications (including ... relevant experience in industry) of the applicant(s) A timeframe for completion of the research LOIs will ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Health Care Cost Trends Request for Proposals – Changes in Medical Trend Due to Provider Disruption
funding requirements, the ability of the applicant(s) to access any data needed. The qualifications (including ... relevant experience in industry) of the applicant(s) A timeframe for completion of the research. LOIs ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Health Care Cost Trends Request for Proposals – Recent Changes in Medical Service Composition and Trends
funding requirements, the ability of the applicant(s) to access any data needed. The qualifications (including ... relevant experience in industry) of the applicant(s) A timeframe for completion of the research LOIs will ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Health Insurance Reserves Controversy
ASA 1950 Edward J: Seligman ASA 1969 Williarb S. York FSA 1941 .’ ,, ,.. I _‘., , The Actuary ... mail service is slow not only across the Canadian-U.S. border but also from examination centers in nearly ...- Authors: William Buchanan
- Date: Jun 1988
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: The Actuary Magazine
- Topics: Health & Disability
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
improve credibility enough that a larger provider's own prior period experience can be used directly, ... for providers to trust. Questions of the form “it's not clear or fair that I should be measured based ...- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Incurred But Not Reported Liability Estimation
some miscellaneous pool that is purely the HMO 's or the managed care company's own risk. That's what ... You'll find something called a Condensed Triangle (Table 1). Unfortunately, the area above the triangle ...- Authors: James Galasso, J Martin Shipp, Robert F Warren
- Date: May 1997
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability
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Quantile Regression - A New Actuarial Approach to Claims Estimation
trended to a future rating period as shown in Table 1. Table 1 Trended Two-year Claim Experience for Group ... claims distribution that experience represented, as Table 2 illustrates. Based on this information, you might ...- Authors: Robert Jason Reed (Jason)
- Date: Apr 2020
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Predictive Analytics; Health & Disability>Claims - Health & Disability; Predictive Analytics>Modeling techniques