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Issue Brief: Changing Financial Risks for Medigap Insurance, Part 1
considerations about how they are impacting Medigap. COVID-19’s Impacts The pandemic affected health insurers, payers ... their physicians and/or to require hospital stays (Table 1) in 2020 and 2021. However, two recent studies[1] ...- Authors: Kristi Bohn
- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance
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Society of Actuaries Analyzes Pharmacy Ecosystem in New Study
drug costs. This report is a continuation in the SOA’s discussion on pharmacy financing and the role of actuaries ... 2016-2021, which includes about one-third of all U.S. commercial health insurance members. The hypothesis ...- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
- Topics: Health & Disability; Health & Disability>Health insurance
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Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2
50% in 2023.[1] This growth has cut into Medigap’s market share (though not overall enrollment counts) ... administrative and financial risk of enhancing benefits. MA’s broad annual flexibility to include dental, vision ...- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance; Public Policy; Public Policy
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Using Interpretable Machine Learning Methods: An Application to Health Insurance Fraud Detection
conroysimberg.com/blog/insurance-fraud-costs-the-u-s-308-billion- annually/#:~:text=The%20Coalition%2 ... between the fraudulent and non- fraudulent cases. Table 1 IMBALANCE IN DATASET Fraud Non-Fraud Number ...- Date: Jan 2024
- Topics: Health & Disability; Health & Disability>Health insurance; Technology & Applications; Technology & Applications>Artificial intelligence & machine learning
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A Patient Centric Approach to AI in Health Insurance
022-00594-w 2. Gier, Jaime, Missed appointments cost the U.S. healthcare system $150B each year (2017). https://www ... com/clinical-it/article/13008175/missed-appointments-cost- the-u s-healthcare-system-150b-each-year 3. Karen Van Nuys ...- Authors: Scott Damery
- Date: May 2024
- Competency: Results-Oriented Solutions
- Topics: Health & Disability; Health & Disability>Health insurance; Technology & Applications; Technology & Applications>Artificial intelligence & machine learning
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prod-design-customer-needs-risks
ReMark's Global Consumer Study delivers 10 key insights to empower customers. Insurers ... ReMark's Global Consumer Study delivers 10 key insights to empower customers. Insurers can design products ...- Date: Apr 2024
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Topics: Health & Disability; Health & Disability>Health insurance; Life Insurance; Technology & Applications
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Using Interpretable Machine Learning Methods: An Application to Health Insurance Fraud Detection
Using Interpretable Machine Learning Methods: An Application to Health Insurance ... Postgraduate in Actuarial Data Science, SSSIHL Sai Siddhanth S, Postgraduate in Actuarial Data Science, SSSIHL Abhiishek ...- Date: Jan 2024
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health insurance; Technology & Applications; Technology & Applications>Artificial intelligence & machine learning