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Provider Risk Sharing Boot Camp for Health Actuaries
follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... you update or roll forward the experience year(s) used? Basic approach 30 Past Present Past ...- Authors: Colleen Audrey Norris
- Date: Nov 2018
- Competency: External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
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Better Care Through Understanding the Customer Not Just the Patient
types of data exist outside a health plan or provider’s walls that would enable us to develop a more holistic ... data sources that can help inform us of a member’s needs and wants. The first two are publicly 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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The Application of Fuzzy Sets to Group Health Underwriting
the age/sex factor for the past two years and g/s the annual percentage change in the group size during ... O, else. f l, -0 .05 ----- g/s e~(g/s) = 5g/s + 1.25, -0.25 --< g/s <- -0 .05 0, else. Examine the ...- Authors: Virginia Ruth Young
- Date: Oct 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks
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Experience Analysis, Reserves and Policy Forms
sentially similar to the study of life insurance or mortality experience. Upon further investigation, however ... importance is not the same as for mortality. The primary mortality variable, age, is also important ...- Authors: Society of Actuaries
- Date: Jun 1952
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks
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Wellness/Health Status
Profiles were developed as a basis of measuring mortality risk, rather than morbidity. One of the results ... estimate of the mortality characteristics of that individual. An individual's mortality would be com- ...- Authors: James C Modaff, David Ogden, Kevin McCarthy
- Date: Apr 1986
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks