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  • Calculation of Confidence Intervals for IBNR Estimates Using the Average PMPM Method
    of the adjuster is used rather than simply the direct value. So for detrending the amounts in Step 6 ... month, as shown in Table 7. This step also takes care of benefit-based seasonality. Table 7 Step 9: Projected ...

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    • Authors: Robert Lynch
    • Date: May 2024
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Financial Reporting & Accounting; Health & Disability
  • Calculation of IBNR Reserves with Low Variance
    common methods used by actuaries practicing in health care finance shows that these methods yield, for the ... themselves to be suffi- ciently sick, seek out medical care by going to their doctor, or in some cases, the ...

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    • Authors: Robert Lynch
    • Date: Aug 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • Approaches to Determining Unpaid Claim Liabilities: Old and New
    mostly for comparison purposes. Probably the primary difference between Doug's approach and mine is ... fee-for-service health plan, a closed-panel HMO managed care organization (MCO) and a mixed-panel plan from ...

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    • Authors: Robert Lynch, Doug Fearrington
    • Date: Sep 2004
    • Competency: External Forces & Industry Knowledge
    • Topics: Financial Reporting & Accounting; Health & Disability