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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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Enterprise Risk Management Practice as Applied to Health Insurers, Self-Insured Plans, and Health Finance Professionals Report
with specific expertise tied to the company’s primary risks. Actuaries have a broad set of skills that ... drive the level of commitment to ERM. The primary findings of this research project are 1. Health ...- Authors: Max Rudolph
- Date: Dec 2009
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Topics: Enterprise Risk Management; Health & Disability>Health insurance
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51st Annual Actuarial Research Conference
annual Actuarial Research Conference. Accountable Care Organizations;Asset Liability Management;Enterprise ... Change and Insurance Risk Current Trends in Health Care In addition to the keynote lectures, invited panels ...- Authors: Laurie Derechin
- Date: Oct 2016
- Competency: Leadership; Professional Values; Technical Skills & Analytical Problem Solving
- Publication Name: Expanding Horizons
- Topics: Actuarial Profession; Enterprise Risk Management; General Insurance (Property & Casualty); Health & Disability>Health insurance; Life Insurance; Modeling & Statistical Methods; Predictive Analytics
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Session 189: Health Insurers and Stress Testing Catastrophic Events
Session 189: Health Insurers and Stress Testing Catastrophic Events While intended to assist ... medical care due to higher deductibles and copays - Severity rises sharply due to deferred care - Sharp ...- Authors: Ken Ehresmann, David Ingram, Reid Kinney
- Date: Mar 2020
- Competency: Leadership
- Topics: Enterprise Risk Management; Enterprise Risk Management>Risk measurement - ERM; Health & Disability; Health & Disability>Health insurance