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An Interview: Dr. Uwe Reinhardt
take in the health care system reforms. Assumptions;Episode-based payment;Health care costs;Health factors;Medical ... factors;Medical expenses;Payment reforms=Health care payment reforms;Risk adjustment; 9515 9/1/2009 12:00:00 ...- Authors: Mary Kindel Van der Heijde, Douglas Norris
- Date: Sep 2009
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Actuarial Profession>Traditional careers; Enterprise Risk Management; Health & Disability>Health risks; Health & Disability>Payment models
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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies ... Health care fraud;Predictive modeling;Medicare;Health insurance;Health economics;Health care costs;Data ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; 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: Risk Management
- Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
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Critical Review of Stochastic Simulation Literature and Applications for Health Actuaries
Critical Review of Stochastic Simulation Literature and Applications for Health Actuaries A ... Dynamic simulation models;Group health plans;Health care costs;Health insurance;Markov Chain;Monte Carlo ...- Authors: Louise H Anderson, Ian G Duncan, Katherine Hall, Brian C Martinson
- Date: Sep 2007
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance
- Topics: Enterprise Risk Management; Modeling & Statistical Methods>Dynamic simulation models; Modeling & Statistical Methods>Markov Chain; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Stochastic models
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Addressing climate change belongs in the insurance companies
mitigation sides. The study has revealed that eight primary factors hinder the expansion of market- based ... of 21 primary insurance and reinsurance companies around the world. These included twelve primary insurers ...- Authors: Maryam Golnaraghi
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Leadership>Influence; Leadership>Professional network leverage; Leadership>Thought leadership; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management; 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: Risk Management
- Topics: Enterprise Risk Management
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Enterprise Risk Management For Small Insurers—It’s Still Three Words
Enterprise Risk Management For Small Insurers—It’s Still Three Words Discusses the use of ERM in ... the organization. Finally, the study cited the primary barriers to ERM within organizations: • “Lack ...- Authors: Norman E Hill
- Date: Nov 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Small Talk
- Topics: Enterprise Risk Management
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PBA Corner
met to be exempt: 1. The insurer has annual direct written premium less than $500,000,000, and 2 ... group of which the insurer is a member has annual direct written premium less than $1,000,000,000. The ...- Authors: Karen Rudolph
- Date: Jun 2013
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: The Financial Reporter
- Topics: Annuities>Reserves - Annuities; Enterprise Risk Management; Financial Reporting & Accounting>Statutory accounting
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What the Regulators Need
What the Regulators Need Chief actuary of the California Insurance Department provides excerpts from ... using various scenarios or using some form of direct probabilistic approach. MAIL ALERT The First ...- Authors: Application Administrator
- Date: Apr 1987
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: The Actuary Magazine
- Topics: Enterprise Risk Management
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Why Actuaries Have Edge In The Marketplace
Why Actuaries Have Edge In The Marketplace This article discusses the actuarial profession ... economy’s ability to meet them,” Potvin said. Health care and pensions will rank among the major concerns ...- Authors: Jacqueline Bitowt
- Date: Jan 1997
- Competency: Communication>Active listening; Communication>Oral communication; Communication>Persuasive communication; External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Results-Oriented Solutions>Actionable recommendations
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Professional development; Enterprise Risk Management