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Human Nature and the US Health Care System, Part I
and the US Health Care System, Part I The third in a series of four articles that illustrate the “soft” ... “soft” approach of game theory using Thucydides’ master work, The History of the Peloponnesian War. By ...- Authors: Carlos Eduardo Fuentes
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>General business skills; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Innovators & Entrepreneurs
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
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Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
Organizations: Getting a Bigger Bang for the Buck Panel discusses the effects of reduced payment levels to many ... Medicare managed care organizations. From the Record of the Society of Actuaries, Vol. 24, No. 2. Chronic ...- Authors: Oscar Lucas, Peggy Tyndall
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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Twenty-Four-Hour Health Coverage
constraints and the role the NAIC is playing to help facilitate 24-hour programs, plan design issues, the use of ... coverage as part of a workers' compensation plan versus coverage of health care outside of the workers' ...- Authors: James E Drennan, Godfrey Perrott, Eric C Nordman
- Date: Oct 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Disability insurance; Health & Disability>Health insurance; Public Policy; Reinsurance>Product development - Reinsurance
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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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Financial Decision-Making Theory and the Small Employer Health Insurance Market in Texas
and the Small Employer Health Insurance Market in Texas This paper describes in detail each of five ... employees. It then describes the advantages and disadvantages to the various players: carriers, employers ...- Authors: Bonnie Albritton
- Date: Oct 2006
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Actuarial Practice Forum
- Topics: Economics>Health economics; Health & Disability>Health insurance