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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 ...

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    • 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
  • Assessing Prescription Opioid Risk with Predictive Analytics
    Assessing Prescription Opioid Risk with Predictive Analytics We highlight a new approach leveraging ... users for more effective screening and follow-up care. Predictive modeling;Health risks;Data mining=Big ...

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    • Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; 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: Health Watch
    • Topics: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
  • Kaggle Case Study – Michael Xiao
    Kaggle Case Study – Michael Xiao Hear from Michael Xiao about how actuaries are combining ... remote areas or without easy access to modern medical care ensure they are receiving accurate diagnoses. As ...

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    • Authors: Society of Actuaries
    • Date: Apr 2018
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Modeling & Statistical Methods>Data mining
  • Calibrating Risk Score Model with Partial Credibility
    Risk adjustment models are commonly used in managed care programs to ensure that participating health plans ... commercial population. However, the variety of managed care populations (and benefits) is much larger than the ...
    • Authors: Sheamus Parkes, Brad Armstrong
    • Date: Oct 2015
    • Competency: Results-Oriented Solutions>Actionable recommendations; 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: Expanding Horizons
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Bayesian methods; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods; Predictive Analytics
  • Predictive Modeling for Life Insurance
    unlike most traditional rating variables, bears no direct causal relationship to insurance losses. Rather ... and time consuming, but necessary, exercise for direct life insurance writers. Simply put, the underwriting ...

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    • Authors: Society of Actuaries
    • Date: Apr 2010
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Topics: Modeling & Statistical Methods>Data mining
  • Using Hadoop and Spark for Distributed Predictive Modeling
    Using Hadoop and Spark for Distributed Predictive Modeling The newer predictive modeling tools ... H2O Compared to MLlib, which might seem like a direct application of the Spark engine, H2O was aiming ...

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    • Authors: Dihui Lai, Qichun Xu
    • Date: Jul 2016
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Modeling & Statistical Methods>Data mining; Predictive Analytics
  • Calibrating Risk Score Model with Partial Credibility
    adjustment models are commonly used in man-aged care programs to ensure that participating health plans ... mercial population. However, the variety of managed care populations (and benefits) is much larger than ...

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    • Authors: Sheamus Parkes, Bradley Armstrong
    • Date: Jul 2015
    • Competency: 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: Predictive Analytics and Futurism Newsletter
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Modeling & Statistical Methods>Bayesian methods; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods; Modeling & Statistical Methods>Regression analysis; Predictive Analytics
  • The Third Generation of Neural Networks
    and how many hidden neurons has always been the primary question of the neural network practitioner. There ... Equation 7. Equation 7: L2 Regularization The primary difference between L1 and L2 is that L1 uses the ...

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    • Authors: Jeff T Heaton
    • Date: Dec 2015
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Modeling & Statistical Methods>Data mining