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Medicare + Choices: Impact of Self-Selection
a specific HMO, it takes into account projected U.S. per capita cost, historical county per capita ... been available. Medicare records contain only mortality and limited hospitalization data. Now, this, ...- Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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Session 46 - Reserving 101 for Health Actuaries
Session ... Adjusted Paid Claims (10+11-12) 14 Lag Table Total Paid Claims 15 Difference (14-13) 16 ... yet been assigned the claim. Due and unpaid (D&U) claims – statutorily defined as a claim that has ...- Authors: Roger Schacht, Gregory Sgrosso, Zhe Li, Zachary B Lamers
- Date: Aug 2019
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Financial Reporting & Accounting>Generally Accepted Accounting Principles [GAAP]; Health & Disability>Health insurance