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A Summary of the Updated Medical Loss Ratio Methodology and Historical Results
A Summary of the Updated Medical Loss Ratio Methodology and Historical Results This is a brief report that summarizes recent changes in the prevalent medical loss ratio methodologies and also ...- Authors: Society of Actuaries
- Date: Dec 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA)
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Examining Predictive Modeling–Based Approaches to Characterizing Health Care Fraud
Examining Predictive Modeling–Based Approaches to Characterizing Health Care Fraud This research report provides an evaluation and synthesis of the methodologies and data samples used on ...
- Authors: Society of Actuaries
- Date: Mar 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Provider Networks – Actuarial Perspective on Performance In and Out of Exchanges
Provider Networks – Actuarial Perspective on Performance In and Out of Exchanges A research report describing aspects of provider network performance in health care settings with particular focus ...
- Authors: Society of Actuaries
- Date: Mar 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health insurance