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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for ...- 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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Evaluating Approaches for Adoption of Medical Technologies
Evaluating Approaches for Adoption of Medical Technologies The purpose of this project was to create a tool that would allow actuaries to derive an understanding of the evidence for medical ...- Authors: Robert D Lieberthal
- Date: Mar 2014
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care quality
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Validating the PRIDIT method for determining hospital quality with outcomes data
Validating the PRIDIT method for determining hospital quality with outcomes data Presented at August 2011 46th Actuarial Research Conference. Discussion of research in progress which examines ...- Authors: Robert D Lieberthal, ANDREA KATHERINE OCONNELL, Application Administrator
- Date: Aug 2011
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Topics: Health & Disability>Health care quality
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Evaluating Approaches for Adoption of Medical Technologies – HEOR Tool
Evaluating Approaches for Adoption of Medical Technologies – HEOR Tool The purpose of this project was to create a tool that would allow actuaries to derive an understanding of the evidence for ...- Authors: Robert D Lieberthal
- Date: Mar 2014
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care quality
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Getting Actuaries More Engaged in Population Health
Getting Actuaries More Engaged in Population Health Introduction to population health, a collaborative discipline that seeks to leverage all the determinants of health personal behaviors, ...- Authors: Robert D Lieberthal
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Economics>Health economics; Health & Disability>Health care quality; Public Policy; Technology & Applications>Analytics and informatics