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Analyzing Health Care Measures/Health Employer [Effectiveness] Data Information Set [HEDIS]
Analyzing Health Care Measures/Health Employer [Effectiveness] Data Information Set [HEDIS] This presentation ... Session 8L of the SOA 1996 Colorado Springs Meeting is about analyzing the effectiveness of health care measures ...- Authors: Edward M Mailander, James Meidlinger
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Session 045: Operational Risk Management for Health Insurance
risks are the crux of all risks confronted by an insurance company and ultimately drive the company’s ... company’s outcomes.Operational risk is the risk of impact on financial outcomes due to operational events, involving ...- Authors: Marc Lambright, Edward M Mailander, Rebecca B Scotchie
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Enterprise Risk Management>Operational risks; Health & Disability>Health insurance
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Session 102: Medicaid Hot Topics
Session 102: Medicaid Hot Topics "The always popular Medicaid Hot Topics session is back with discussions ... expert panelist on the most riveting Medicaid topics of the year. These could include the following: • ACA ...- Authors: Sabrina Gibson, Edward M Mailander, Sudha Shenoy, Rylan Austin, Timothy W Caldwell , Michael E Nordstrom
- Date: May 2019
- Competency: External Forces & Industry Knowledge
- Topics: Public Policy; Social Insurance>Medicaid
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Session 169: Risk Adjustment in Medicaid: Recent Developments
Adjustment in Medicaid: Recent Developments The presenters will cover the variation in risk adjustment approaches ... programs. Additionally, recent developments, such as the use of OCR to extract data from medical charts for risk ...- Authors: Edward M Mailander, Daniel Henry
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Payment models; Public Policy; Public Policy