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Better Care Through Understanding the Customer Not Just the Patient
As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical ... information is captured while patients are in health care facilities. Yet most people spend only a small fraction ...- 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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Health Care Technology
Health Care Technology The last three decades have witnessed an important rise in number of people with ...- Authors: Society of Actuaries
- Date: Jun 2019
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health information technology; Health & Disability>Payment models
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Valuation of Care Management Vendors
Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings by external ... external care vendors 5/1/2020 12:00:00 AM ...- Authors: Rick S Pawelski
- Date: May 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics
Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics The presenters will ...- Authors: Kwame Smart, Mark Russell, Steve Richardson
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Payment models
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Provider Risk Sharing Boot Camp for Health Actuaries
closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... 1111 Provider Risk Spectrum Fee For Service Care Coordination Payments Performance- Based Contract ...- Authors: Colleen Audrey Norris
- Date: Nov 2018
- Competency: External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
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The Revolutionary Actuary
The Revolutionary Actuary The article provides insights about the need for revolutionary actuaries ... reform. Revolutionary Actuary, health care reform, accountable care organization (ACO), qualified health ...- Authors: Ashwag Alzahrani
- Date: Oct 2020
- Competency: External Forces & Industry Knowledge; Professional Values; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: International News
- Topics: Actuarial Profession; Health & Disability; Health & Disability>Health care; Health & Disability>Payment models; Health & Disability>Vision
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Risk Adjusters
chose the best of the rest. Financing Health Care The financial articles describe linear regression ... to the subject and to the special issue of Health Care Financing Review devoted to risk adjustment. Nine ...- Authors: Society of Actuaries
- Date: Nov 2002
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Payment models
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Controlling Indirect Selection under Healthcare Reform
........................................ 7 C. Direct Selection .................................... ... ....................................... 107 7. Care Management ....................................- Authors: Tia Sawhney
- Date: Nov 2012
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Economics>Health economics; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Payment models; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Modeling efficiency; Predictive Analytics
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Session 169: Risk Adjustment in Medicaid: Recent Developments
Consulting Group in 2012 • Principal in Denver Office – Primary focus on Government Programs with emphasis on ... allocate capitated payments between contracted managed care organizations Source: ResDAC Medicaid Risk Adjustment ...- 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
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Provider Risk-Sharing and Random Noise
infrastructure. Pricing actuaries will need to estimate the direct effect of random fluctuations, the indirect effect ... Some- times Shi Accountability to HMOs. Managed Care, Dec. 1, 2000. https://www .managedcaremag.com ...- Authors: Thomas Messer
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Provider networks; Health & Disability>Provider risk