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Session 039: Innovation in Health Insurance Underwriting
follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... profit management that can be considered a form of U/W. 4 Speakers Joan Barrett Axene Health Partners ...- Authors: Chris E Stehno
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks; Technology & Applications>Analytics and informatics
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Session 108: Outcome Based Risk Sharing Arrangements – From Theory to Practice
and pharmaceutical manufacturers (“pharma”), and it’s intended to meet the needs of actuaries who focus ... background of OBRSAs, definitions, stakeholders, and OBRSA’s role in shifting the system from volume-based toward ...- Authors: Karl J. Gregor, Whitney Pratt, Jim Xun Jun Li
- Date: May 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks; Technology & Applications>Analytics and informatics
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Developing a Population Health Management Program for a Long-Term Care Insurance Product
Developing a Population Health Management Program for a Long-Term Care Insurance Product ... healthy, premium-paying portion of a claimant's life. Health care costs;Health risks;Risk metrics;Disease ...- Authors: Jeff Underhill, Don Fetterolf, Geoffrey Walton
- Date: Dec 2007
- Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Health risks; Long-term Care>Chronic health management - Long-term Care; Technology & Applications>Analytics and informatics
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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 ...- 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
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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 ...- 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
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Health Risk Assessments in a Protected Environment
Health Risk Assessments in a Protected Environment A discussion of permissible use and collection ... information. Recently, three federal agen- cies, the U.S. Departments of Treasury, Labor, and Health and ...- Authors: John C Cameron
- Date: May 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Ethical standards
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Public Policy; Technology & Applications>Analytics and informatics