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The State of Predictive Analytics in U.S. Health care
mgmt 9% Info mgmt 10% Operations mgmt 17% Case mgmt 17% Finance mgmt 20% Medical clinics/Groups ... mgmt 9% Info mgmt 10% Operations mgmt 17% Case mgmt 17% Finance mgmt 20% Medical clinics/Groups ...- Authors: Marilyn Medved McGaffin
- Date: Nov 2016
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Predictive Analytics
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Prescription Drug Use in an Individual Exchange Population
14% $114.12 2.81 All Enrollees $ 69.13 $ 11.13 17% $ 56.26 1.39 Month by Month Spending The PMPM ... Quarter 46% 19% 34% 1% 100% Later Enrollees 51% 17% 32% 1% 100% All Enrollees 46% 21% 32% 1% 100% ...- Authors: Rebecca Owen
- Date: Apr 2016
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Health & Disability>Health risks
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Health Watch, February 2018, Issue 85
FPL 24% 150–200% FPL 17% 200–250% FPL 3% FEBRUARY 2018 HEALTH WATCH | 17 Nineteen State Attorneys ... reimbursements; spread evenly across all plans. 17 Silver Load Insurers load premiums to cover loss ...- Authors: Society of Actuaries
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Group Medical Insurance Large Claims Database Collection and Analysis, Chapter 7: Analysis of Most Frequent Diagnoses and Analysis of Total Charges by Diagnosis Category, Age, and Gender
Group Medical Insurance Large Claims Database ... 14 25 21 22 4 I0 30 2 3 1 27 17 20 18 26 13 11 24 5 7 Other and ... Claimants in Range 1992 1,724 480 151 59 37 17 12 8 5 0 0 0 0 0 0 2,493 Total Charges ...- Authors: Society of Actuaries
- Date: Aug 1997
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Experience Studies & Data; Health & Disability>Health risks; Reinsurance>Health reinsurance
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Application of Epidemiological Models in Actuarial Mathematics
following ODE system: P ′(t) = PAH e−δtS(t) , t > 0 , (17) B′(t) = e−δtI(t) , t > 0 , (18) V ′(t) = PAH eδtS(t) ... function obtained from the insurance quantities system (17) - (19), where the benefit premium is determined ...- Authors: José Garrido, Runhuan Feng
- Date: Jan 2007
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Health & Disability>Critical illness insurance; Health & Disability>Health risks; Life Insurance>Pricing - Life Insurance
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Why so Many People Have Untreated Mental Health Conditions
health issues.” I am not talking about only the one in 17 Americans who lives with a diagnosed serious mental ... mental health issue. JUNE 2018 HEALTH WATCH | 17 • Mental illness is associated with an increased ...- Authors: Dawn Motovidlak
- Date: Jun 2018
- Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models
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Health Watch, October 2018, Issue 87
Society of Actuaries (SOA) 2018_caa_ad.indd 1 11/2/17 10:54 AM 16 | OCTOBER 2018 HEALTH WATCH Medicare ... findings include: OCTOBER 2018 HEALTH WATCH | 17 • The average number of HCCs varies meaningfully ...- Authors: Society of Actuaries
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Group Medical Insurance Large Claims Database Collection and Analysis, Chapter 2: Analysis of Claimants and Charges by Gender, Age, and Diagnosis by Subscriber Status
Group Medical Insurance Large Claims ... Status or Service Number of Claimants 40 30 17 18 2 38 11 45 79 75 14 0 2 5 2,113 ... 235 70 1,975 100 30 96 106 184 89 14 17 280 149 136 590 82 Percent of Claimants ...- Authors: Society of Actuaries
- Date: Aug 1997
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Experience Studies & Data; Health & Disability>Health risks; Reinsurance>Health reinsurance
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Bariatric Surgery Holds Promise for Patients and for Payors
Bariatric Surgery Holds Promise for Patients and for Payors An economic analysis of bariatric surgery ... prior to surgery and afterwards for an average of 17 months for the bariatric group and 18 months for ...- Authors: John Dawson, Pierre-Yves Cremieux, Arindam Ghosh
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining
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Group Medical Insurance Large Claims Database Collection and Analysis, Chapter 1: History, Methodology, and Findings
these conditions and of female subscriber claims, 17%, at average charges of $55,000-$60,000. Malignant ... approximately 21% of female subscriber claims and 17% of male subscriber claims. In 1991, 48% of subscribers ...- Authors: Society of Actuaries
- Date: Aug 1997
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Professional network leverage; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Actuarial Profession>Academic partnerships; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods; Reinsurance>Health reinsurance