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Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics
Predictive Analytics The presenters will provide insights into fraud and abuse risk in the health insurance ... insurance industry, including an examination of traditional and predictive modeling techniques for both prevention ...- Authors: Kwame Smart, Mark Russell, Steve Richardson
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Payment models
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Dividend Scales and Graded Premiums
Scales and Graded Premiums This discussion looks at the approach companies are taking in developing dividend ... accident and sickness premiums. From Transactions of Society of Actuaries 1959, Vol. 11, No. 31. Accident ...- Authors: Albert A Bingham, Jack A Singer, Irving Rosenthal
- Date: Nov 1959
- Competency: External Forces & Industry Knowledge
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health insurance
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Update: IRS Issues Guidance Regarding the 2 Percent De Minimis Exception Under IRC Section 162(M)(6)
Regarding the 2 Percent De Minimis Exception Under IRC Section 162(M)(6) Updated discussion of IRS Proposed ... under Section 162(m)(6), their potential impact upon the life insurance industry, and a 2 percent de minimis ...- Authors: Daniel Stringham
- Date: Oct 2013
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Taxing Times
- Topics: Financial Reporting & Accounting>Generally Accepted Accounting Principles [GAAP]; Health & Disability>Health insurance; Public Policy
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Research Papers For Fellowship Credit
Research Papers For Fellowship Credit Article from The Actuary September 1992 – Volume 26, No. 7 is about ... papers for FSA credit, specifically mentions The Application of Fuzzy Sets to Group Health Underwriting ...- Authors: Roy Goldman
- Date: Sep 1992
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Professional development; Health & Disability>Health insurance
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Dread Disease and Critical Illness Products
Critical Illness Products Panelists at this session of the SOA 1997 Palm Desert Spring Meeting discuss dread ... products. Products sold in various markets around the world are reviewed. Antiselection;Cancer;Critical ...- Authors: Paivi A Liitela, Christine M Bellavia, David L Grimshaw, ROBERT JAMES WEIR
- Date: May 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Health Insurance
Health Insurance Article Health Insurance in The Actuary, June 1979, Volume 13, Number 6 Health economics;Health ...- Authors: Application Administrator
- Date: Jun 1979
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: The Actuary Magazine
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
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Recommendations for a Successful ACA Rate Filing
Recommendations for a Successful ACA Rate Filing Summary of common mistakes made by actuaries developing ACA ...- Authors: Joseph Slater
- Date: Nov 2016
- Competency: Communication>Difficult message delivery; Communication>Oral communication; Communication>Persuasive communication; Communication>Written communication; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Health & Disability>Health insurance; Public Policy
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2008 Employer Stop Loss Survey Identifies Broker Criteria For ESL Partners
2008 Employer Stop Loss Survey Identifies Broker Criteria For ESL Partners This articles discusses ... online survey of Brokers and Intermediaries regarding Third Party Administration in the Employer Stop ...- Authors: Steve Fedele, Claudia Scott
- Date: Nov 2008
- Competency: External Forces & Industry Knowledge
- Publication Name: Reinsurance News
- Topics: Health & Disability>Health insurance
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Developing Group Health Credibility Factors through Stochastic Modeling
insurance can be accomplished empirically through the use of stochastic models with appropriate parameters ... parameters and fairly readily obtainable data, without the need for unrealistic assumptions. Stochastic models ...- Authors: John N Albert
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Stochastic models
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Identification Dashboard for Targeted Studies
Identification Dashboard for Targeted Studies This ... research material provides an evaluation and synthesis of the methodologies and data samples used on characterizing ...- Authors: Society of Actuaries
- Date: May 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Health insurance