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AI and EMRs: Pioneering the New Frontier in Healthcare Actuarial Practice
AI and EMRs: Pioneering the New Frontier in Healthcare Actuarial Practice In the evolving ... (EMRs) in empowering actuaries to navigate this dynamic sector. Despite challenges in data standardization ...- Authors: Netanel Lederer
- Date: May 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health information technology; Health & Disability>Provider risk; Health & Disability>Electronic medical record
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Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment”
Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment” ACA ... of the current formula” and have regarded the dynamic less formally as a “happy accident.”[30] While ...- Authors: Greg Fann
- Date: Jun 2022
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Health & Disability>Health care
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COVID-19, Unknown Unknowns, and Public Finance on the Fly
COVID-19, Unknown Unknowns, and Public Finance on the Fly The article describes the insurance ... The coronavirus pandemic has added a new risk dynamic. Insurers are subject to known regulatory requirements ...- Authors: Gregory Fann
- Date: May 2020
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Social Insurance; Health & Disability>Affordable Care Act (ACA)
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Health Watch, February 2018, Issue 85
Health Watch, February 2018, Issue 85 Read the February 2018 issue of Health Watch, published ... the delivery of health care. This involves a dynamic risk assessment of both revenues and costs. Relative ...- Authors: Society of Actuaries
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch, June 2017, Issue 83
they been more relevant than they are in today’s dynamic health care environment. THE BASICS First, so ... sessions • Network with 600+ peers • Learn from dynamic speakers on diverse topics Register by July 31 ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch, March 2017, Issue 82
Health Watch, March 2017, Issue 82 Read the March 2017 issue of Health Watch, published by ... consulting firm, and I have worked with some really dynamic and creative consultants over the years. I see ...- Authors: Society of Actuaries
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Care Insights
Health Care Insights The SOA provides information about the actuarial career path in health ... considering a nontraditional path: "This is a dynamic field. It doesn't matter how many years of experience ...- Authors: Society of Actuaries
- Date: Apr 2016
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
- Topics: Actuarial Profession>Alternative careers; Health & Disability>Health care; Predictive Analytics
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Health Watch, Issue 79, December 2015, Health Watch
etc., one would be hard-pressed to find a more dynamic industry. And I’m proud to say that the Health ... Correction Models (VECMs), to model multivariate dynamic systems including time dependency be- tween economic ...- Authors: Society of Actuaries
- Date: Dec 2015
- Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Professional Values>Ethical standards; Relationship Management>Team leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Experience Studies & Data>Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science
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Up Front with the SOA Staff Fellow
Up Front with the SOA Staff Fellow Review of 2015 from perspective of the Health Section Health ... etc., one would be hard-pressed to find a more dynamic industry. And I’m proud to say that the Health ...- Authors: Joseph Wurzburger
- Date: Dec 2015
- Competency: Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Health Care Reform: Essential Health Benefits and Actuarial Value
Health Care Reform: Essential Health Benefits and Actuarial Value Essential Health Benefits and ... health plan designs. But the changes remain dynamic and unpredict- able. We continue to need the input ...- Authors: Catherine Knuth
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch October 2012 issue
needs of a growing company, particularly in a dynamic financial and regulatory environment. By analyzing ... needs of a growing company, particularly in a dynamic financial and regulatory environment.- Authors: Society of Actuaries
- Date: Jan 2013
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Seeing The Big Picture: ERM In The Health Care Industry
Seeing The Big Picture: ERM In The Health Care Industry Article discussing the use of ... risk/return analyses will be deemed useless if this dynamic is not in place. The process of ERM and these five ...- Authors: Robert F Wolf
- Date: Apr 2009
- Competency: External Forces & Industry Knowledge
- Publication Name: The Actuary Magazine
- Topics: Enterprise Risk Management; Health & Disability>Health care
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A Healthy Future? Risks and Opportunities Facing the Health Discipline
the Health Discipline This article examines the dynamic environment of the health care system in the United ... the health actuary, we must first examine the dynamic environment that is the health care system in the ...- Authors: Jim Toole
- Date: Apr 2008
- Competency: External Forces & Industry Knowledge
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Professional development; Health & Disability>Health care
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Paper 5: Evaluating Disease Management Savings Outcomes
Paper 5: Evaluating Disease Management Savings Outcomes This is one of a series of SOA-sponsored ... adjustment is easier to make when there is no dynamic effect on the reference population over time.- Authors: Ian G Duncan
- Date: Oct 2005
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health care
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The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help?
The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help? This article ... Models could be made more useful by the use of dynamic population modeling typically used by actuaries ...- Authors: Jonathan L Shreve, Jill Van Den Bos, John Watkins, Kristin Reed
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Aging Curves for Health Care Costs in Retirement
Aging Curves for Health Care Costs in Retirement This study was sponsored by the Society ... places the paper’s findings in a context of a dynamic health care economy in an aging society. Introduction ...- Authors: Jeffrey Petertil
- Date: Aug 2003
- Competency: External Forces & Industry Knowledge; External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Topics: Health & Disability>Health care; Public Policy; Social Insurance>Medicare
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A Practical Method for Incorporating Pended Claims in Medical IBNR Estimates
A Practical Method for Incorporating Pended Claims in Medical IBNR Estimates Incorporating ... model. However, there is a separate, more subtle dynamic at work in the process. The process of generating ...- Authors: Peter Reilly
- Date: Apr 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Modeling & Statistical Methods>Estimation methods
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The Changing Demographic Landscape and Aging Population
Stallard’s SOA monograph describes static and dynamic projections of future healthcare and long term ... retiree health care needs and contrasts them with dynamic models. The static models use current mortality ...- Authors: Society of Actuaries
- Date: Mar 2003
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Topics: Health & Disability>Health care; Long-term Care>Medical expenses; Public Policy; Social Insurance>Medicare
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Financial Reporting for HealthcarePlans: An Outline of Best Practices
defining market segments, more often than not, is a dynamic process. Most companies change market segment definitions ... financial projection models are often prepared on a dynamic (versus static) basis in an effort to evalu- ate ...- Authors: James Galasso
- Date: Sep 2001
- Competency: External Forces & Industry Knowledge>General business skills
- Publication Name: Health Watch
- Topics: Financial Reporting & Accounting; Health & Disability>Health care
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Evaluating Managed Care Effectiveness: A Societal Perspective
Evaluating Managed Care Effectiveness: A Societal Perspective This analysis provides an overview ... idealistic given that the system is extremely dynamic. One stakeholder’s gain may be another’s loss ...- Authors: Application Administrator, James Murphy, Jill S Schield
- Date: Oct 2000
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Social Insurance>Government-funded healthcare
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Profiling Physician Performance
me 15 different answers. That is the type of dynamic that we have to address as people who turn data ... in the two problem physicians. An interesting dynamic is physician 9, who happens to be our medical director ...- Authors: Joel C Hoffman, David Josephson, David Terry, John C Vataha, Kelly Myers
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Ethics; Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Regression analysis; Modeling & Statistical Methods>Simulation
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Health Insurance and the Valuation Actuary
The interest rate is tied to the life insurance dynamic interest rate and that's currently at 4.5%. l ... constructed table of your own. There were too many dynamic variables to rely solely on a static reserve basis ...- Authors: Application Administrator, Michael Francescone, Frank E Knorr, Glenn A Giese
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Health & Disability>Health care; Health & Disability>Health insurance; Long-term Care>Long-term care insurance