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Modeling the Cost of Medical Care for the Elderly
Modeling the Cost of Medical Care for the Elderly An excerpt from a presentation at the 2014 Living ... by actuaries attempting to estimate future health benefit costs, discusses its strengths and limitations ...- Authors: Thomas Getzen
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Long-term Care>Medical expenses; Modeling & Statistical Methods>Estimation methods
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Updating the Accounts: Global Mortality of the 1918–1920 Spanish Influenza Pandemic.
Updating the Accounts: Global Mortality of the 1918–1920 Spanish Influenza Pandemic. The influenza pandemic ... pandemic of 1918-20 is recognized as having generally taken place in three waves, starting in the northern ...- Authors: Niall P.A.S. Johnson, Juergen Mueller
- Date: Apr 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Demography; Experience Studies & Data>Mortality; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods
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The Challenges of Accurately Repricing Pharmacy Benefit Manager Claims
The Challenges of Accurately Repricing Pharmacy Benefit Manager Claims A guide to the protocols and ... historical claims repricing in the PBM RFP process. prescription drug costs;model validation;claims review ...- Authors: John R Adler
- Date: Jun 2018
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods>Estimation methods
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Calibrating Risk Score Model with Partial Credibility
Armstrong This article first appeared in the July 2015 issue of Forecasting & Futurism. It is reprinted ... Risk adjustment models are commonly used in managed care programs to ensure that participating health plans ...- 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
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An Algorithm for Computing Expected Stop-Loss Claims under a Group Life Contract
Algorithm for Computing Expected Stop-Loss Claims under a Group Life Contract This paper by John Mereu ... computing the expected loss under a group life contract in excess of a stated limit. The paper also ...- Authors: William A Bailey, Hans U Gerber, L Giles, Richard S Hester, Donald A Jones, John A Mereu, Gerald J Rankin, Courtland C Smith, William J Taylor
- Date: Oct 1972
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Transactions of the SOA
- Topics: Life Insurance>Group plans - Life Insurance; Modeling & Statistical Methods>Estimation methods; Modeling & Statistical Methods>Forecasting
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Credibility Theory - C-21-01 Study Note
to deal with the randomness of data that is used for predicting future events or costs. For ex- ample ... uses past loss information of an insured or group of insureds to estimate the cost to provide fu- ture ...- Authors: Society of Actuaries
- Date: Jul 1998
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Modeling & Statistical Methods>Bayesian methods; Modeling & Statistical Methods>Estimation methods
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Maximum Likelihood Alternatives to Actuarial Estimators of Mortality Rates
Maximum Likelihood Alternatives to Actuarial Estimators of Mortality Rates This paper will ... to Actuarial Estimators of Mortality Rates This paper will investigate the problem in estimating mortality ...- Authors: H J Boom, James D Broffitt, Ralph E Edwards, James Robinson
- Date: Oct 1984
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Transactions of the SOA
- Topics: Experience Studies & Data>Mortality; Modeling & Statistical Methods>Estimation methods
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Insurance Regulation: the 1-year 99.5% VaR Fallacy
Insurance Regulation: the 1-year 99.5% VaR Fallacy European insurance regulation pretends to capture ... and rely on the 1-year 1-in-200 VaR. But there cannot exist any scientific calibration of such measure ...- Authors: Sylvestre Frezal
- Date: Aug 2017
- Competency: 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: Enterprise Risk Management>Risk measurement - ERM; Modeling & Statistical Methods>Estimation methods; Modeling & Statistical Methods>Extreme value theory; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods
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A Practical Method for Incorporating Pended Claims in Medical IBNR Estimates
financial results of health insurers. These reserves, while not as long tailed as long term care or disability ... insurance contracts, can be quite material and the mis-esti- mating of these reserves can add considerable variability ...- Authors: Peter Reilly
- Date: Apr 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Modeling & Statistical Methods>Estimation methods
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Integrating Claims-Based and Survey-Based Data to Estimate Program Savings
Integrating Claims-Based and Survey-Based Data to Estimate Program Savings An approach to quantify ... overlapping measurement techniques. Health care costs;Health care quality;Estimation Methods 6442479088 ...- Authors: Andrew Mackenzie, Ian G Duncan
- Date: Oct 2017
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Estimation methods; Modeling & Statistical Methods>Regression analysis