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Integrating Claims-Based and Survey-Based Data to Estimate Program Savings
Savings An approach to quantify medical intervention savings when medical claims data is not available by ... by leveraging overlapping measurement techniques. Health care costs;Health care quality;Estimation Methods ...- Authors: Andrew Mackenzie, Ian G Duncan
- Date: Oct 2017
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Estimation methods; Modeling & Statistical Methods>Regression analysis
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A Practical Method for Incorporating Pended Claims in Medical IBNR Estimates
A Practical Method for Incorporating Pended Claims in Medical IBNR Estimates Incorporating ... Incorporating Pended Claims in Medical IBNR Estimates Incorporating Pended Claims in Medical IBNR Estimates. Issue ...- Authors: Peter Reilly
- Date: Apr 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Modeling & Statistical Methods>Estimation methods
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Health Watch, Issue 79, December 2015, Health Watch
insurance;Ethics;Health reserves;Health Research;Cause-of-death mortality;Disability;Presenteeism;Absenteeism;Smoking ... mortality;health care reform;actuarial standards of practice;Regression analysis;Predictive modeling;Modeling ...- Authors: Society of Actuaries
- Date: Dec 2015
- Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Professional Values>Ethical standards; Relationship Management>Team leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; 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: Health Watch
- Topics: Experience Studies & Data>Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science
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Health Section Issues New IBNR Study
Study Summary of the health section council’s research project to assess the accuracy of commonly used ... used IBNR estimation methods over a wide range of scenarios. Estimation methods;Health reserves;Stochastic ...- Authors: Steven Siegel, Cabe Chadick
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Financial Reporting & Accounting; Health & Disability>Health care; Modeling & Statistical Methods>Modeling efficiency
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The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help?
The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help? This article looks ... looks at pharmacy benefit management and the use of data, reviews standard pharmacoeconomic analysis methods ...- Authors: Jonathan L Shreve, Jill Van Den Bos, John Watkins, Kristin Reed
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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SOA Releases New Long-Term Health Care Cost Trends Resource Model
SOA Releases New Long-Term Health Care Cost Trends Resource Model SOA’s Pension and Health Sections ... model for projecting health care trends through the year 2099. Assumptions; 9477 5/1/2008 12:00:00 ...- Authors: Steven Siegel
- Date: May 2008
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Estimating IBNR from Authorized Bed Days
accuracythan if estimated from member-ship, given the “right” business environment. This gives rise to ... confidence in current month expense estimates. The success of estimating from days is tied to many factors ...- Authors: Kevin L Pedlow
- Date: Apr 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Don’t Forget the Data
Don’t Forget the Data Using data to develop reserves for Incurred Prior Paid After and Incurred but ...- Authors: Robert Bachler
- Date: Aug 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Seasonal Flu Impacts: Flu Science Meets Actuarial Science
Science Meets Actuarial Science By Bethany McAleer The seasonal flu comes every year with very broad (and ... cost implications. As individuals, our interest in the flu is focused on making sure we’re following recommendations ...- Authors: Bethany McAleer
- Date: Oct 2018
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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The Bottom Line on BehavioralHealth Care Costs
The Bottom Line on BehavioralHealth Care Costs This article reviews the cost of behavioral health care ... care and looks at how the involvement of Primary Care Physicians leads to a less efficient and effective ...- Authors: Stephen P Melek
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care