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2022-long-term-covid-trends
member costs post diagnosis and the future of mortality in this Emerging Long Term COVID-19 Trends webcast ... a panel of mortality experts who will express opinions on the effects of the U.S. mortality rate for general ...- Authors: Society of Actuaries
- Date: Jan 2023
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Topics: Demography; Health & Disability; Life Insurance; Predictive Analytics
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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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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
improve credibility enough that a larger provider's own prior period experience can be used directly, ... for providers to trust. Questions of the form “it's not clear or fair that I should be measured based ...- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; 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; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Quantile Regression - A New Actuarial Approach to Claims Estimation
trended to a future rating period as shown in Table 1. Table 1 Trended Two-year Claim Experience for Group ... claims distribution that experience represented, as Table 2 illustrates. Based on this information, you might ...- Authors: Robert Jason Reed (Jason)
- Date: Apr 2020
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Predictive Analytics; Health & Disability>Claims - Health & Disability; Predictive Analytics>Modeling techniques