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Better Care Through Understanding the Customer Not Just the Patient
As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical ... small fraction of their time in these facilities. This article explores what types of data are available ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; 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; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Opportunities for Bundling Medicare Supplement and Short-Term Care: The Perfect Match?
Bundling Medicare Supplement and Short-Term Care: The Perfect Match? This article describes Medicare Supplement ... explore the concept that these two products—when offered together—may provide a complementary hedge of certain ...- Authors: Kenneth J Clark, Robert T Eaton
- Date: Mar 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Rates - Health & Disability; Long-term Care>Long-term care pricing; Long-term Care>Rates - Long-term Care; Long-term Care>Termination - Long-term Care
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Healthcare Risk Adjustment & Predictive Modeling (predicting hospital readmission, draft chapter 20)
that aid in the prediction of the risk of readmission to a specific hospital within 30 days of discharge ... for Medicare patients, to aid in the identification and stratification of at-risk patients for hospitals ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Analytics and informatics
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Editorial - Managed Care Creates Key Role For Actuaries
In this editorial the author discusses how actuaries can help mitigate the impact of managed care lawsuits ... lawsuits. Examples are provided. From: The Actuary, April 2000 – volume 34 - Issue 4. Health care ...- Authors: Janet Carstens
- Date: Apr 2000
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance