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  • Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
    Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews Identifying and submitting all appropriate ICD-9 diagnosis codes to CMS will result in a higher risk score for the ...

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    • Authors: Corey Berger, Eric P Goetsch
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
  • Calibrating Risk Score Model with Partial Credibility
    Calibrating Risk Score Model with Partial Credibility This article describes a method that can be useful when re-fitting a risk score model to a population of only moderate size. Learn how to use ...

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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
  • Linking Quality and Cost: An Analysis of the Hospital Quality Information Initiative Measures
    Linking Quality and Cost: An Analysis of the Hospital Quality Information Initiative Measures Analysis of possible mathematical relationships between hospital quality and hospital billed or ...

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    • Authors: John Cookson, Eileen A Kurtz
    • Date: Nov 2006
    • Competency: Communication; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Experience Studies & Data; Health & Disability>Health care quality; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare
  • Calibrating Risk Score Model with Partial Credibility
    Calibrating Risk Score Model with Partial Credibility by Shea Parkes and Brad Armstrong Learn how to use concepts like ridge regression to train a model with partial credibility. Predictive ...
    • 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
  • The Impact of Obesity and Diabetes on LTC Disability and Mortality: Population Estimates from the National Long-Term Care Survey
    The Impact of Obesity and Diabetes on LTC Disability and Mortality: Population Estimates from the National Long-Term Care Survey Discussion of the separate and joint effects of obesity and ...

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    • Authors: P J Stallard
    • Date: Sep 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: Long-Term Care News
    • Topics: Experience Studies & Data>Disability; Experience Studies & Data>Mortality; Health & Disability>Chronic health management - Health & Disability; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods
  • Controlling Indirect Selection under Healthcare Reform
    Controlling Indirect Selection under Healthcare Reform This dissertation by Tia Sawhney will help you understand this issue and start measuring it, or start promoting equitable public policy.

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    • Authors: Tia Sawhney
    • Date: Nov 2012
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Economics>Health economics; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Payment models; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Modeling efficiency; Predictive Analytics
  • Cancer Experience Study Data Requirements
    Cancer Experience Study Data Requirements Data requirements for the Society of Actuaries cancer experience study, for those submitting exposure and claim information. Assumptions;Cancer;Health ...

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    • Authors: Society of Actuaries
    • Date: Jun 2005
    • Competency: Communication; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Topics: Experience Studies & Data; Health & Disability; Modeling & Statistical Methods>Data mining
  • Bariatric Surgery Holds Promise for Patients and for Payors
    Bariatric Surgery Holds Promise for Patients and for Payors An economic analysis of bariatric surgery and health care costs supports the case for health plans to cover these procedures. Health ...

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    • 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
  • Estimates of Incidence, Prevalence, Duration, Intensity and cost of Chronic Disability Among the U.S. Elderly
    Estimates of Incidence, Prevalence, Duration, Intensity and cost of Chronic Disability Among the U.S. Elderly A study of disability experience examines cost burden and degree of disability, and ...

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    • Authors: P J Stallard
    • Date: Sep 2008
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Long-Term Care News
    • Topics: Experience Studies & Data>Disability; Health & Disability>Chronic health management - Health & Disability; Long-term Care; Modeling & Statistical Methods>Data mining
  • New Research Study Measurement of Health Care Quality and Efficiency: Resources for Health Care Professionals
    New Research Study Measurement of Health Care Quality and Efficiency: Resources for Health Care Professionals Review of a research project, co-sponsored by the SOA, which examined 83 ...

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    • Authors: Sara Teppema
    • Date: Sep 2009
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care quality; Modeling & Statistical Methods>Data mining; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence
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