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  • Modeling the Cost of Medical Care for the Elderly
    Modeling the Cost of Medical Care for the Elderly An excerpt from a presentation at the 2014 Living ... than $13 trillion by 2055, about 50 percent of total medical expenditures. Model validation;Modeling efficiency ...

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    • Authors: Thomas Getzen
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Long-term Care>Medical expenses; Modeling & Statistical Methods>Estimation methods
  • An Executive Roundtable on the State of Predictive Analytics in U.S. Health Care
    An Executive Roundtable on the State of Predictive Analytics in U.S. Health Care Many executives are ...

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    • Authors: Marilyn Medved McGaffin
    • Date: Mar 2017
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Technology & Applications>Analytics and informatics
  • Research Paper Review: “Measuring Consumer Valuation of Limited Provider Networks”
    Consumer Valuation of Limited Provider Networks” The Behavioral Finance subgroup of the Health Section will ... series of literature reviews in Health Watch. This is the first review of three in the series. The reviewed ...

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    • Authors: Brian Plaskow, John Kinney, Sarah Hoover
    • Date: May 2016
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Economics>Behavioral economics; Health & Disability>Health insurance
  • Assessing Prescription Opioid Risk with Predictive Analytics
    Barbara Collier and Joseph Boschert According to the Centers for Disease Control and Preven-tion (CDC) ... more than 115 people die each day in the United States as a result of opioid over- dose and that prescription ...

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    • Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; 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: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
  • Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements
    ACO budgeting and pricing of stoploss coverage, including: 1) attribution of members; 2) claim carve outs; ... stoploss terms; 4) providers gaming the system and 5) credibility of data. ;; Health care reform; Health ...

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    • Authors: Anthony Rubiano
    • Date: May 2012
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; 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 risks; Health & Disability>Payment models; Public Policy
  • Commercial Health Care: What’s Next?
    Commercial Health Care: What’s Next? This article contains a condensed summary and ... and excerpts from a recent white paper regarding the Individual Mandate. health care reform;health economics;health ...

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    • Authors: David Dillon
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Public Policy; Public Policy