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  • Bariatric Surgery Holds Promise for Patients and for Payors
    Health estimate approxi- mately one-third of the U.S. adult population is now obese, with a body mass ... kilograms divided by height in meters squared. From 2000 to 2005 alone, the obesity rate increased by 24 ...

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    • Authors: John Dawson, Pierre-Yves Cremieux, Arindam Ghosh
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining
  • Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
    Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews Identifying ... payments to Medicare Advantage plans. Milliman's HCC prevalence study illustrates the significant variations ...

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    • Authors: Corey Berger, Eric P Goetsch
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
  • Modeling Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance
    conditions that if =M, then L =1/2 and vice versa. S is an “s”-shaped monotonically increasing function with ... if z=1. A special case for S is a step function with S(z)=0 if z <1, S(z) =1 if z >1 and if z=1 (Figure ...

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    • Authors: D Wei
    • Date: Feb 2010
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health risks; Modeling & Statistical Methods; Technology & Applications>Analytics and informatics