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  • Incorporating Random Effects to Reduce Variance in Risk Score Estimation
    explicitly account for the impact of the provider’s approach to resource utilization, so member risk for ... and then used to normalize the risk of a physician’s panel, providers A and B—with very different patient ...

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    • Authors: Robert Jason Reed (Jason)
    • Date: Jul 2021
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Modeling & Statistical Methods>Estimation methods; Modeling & Statistical Methods>Regression analysis; Predictive Analytics>Modeling techniques
  • A Practical Method for Incorporating Pended Claims in Medical IBNR Estimates
    format. This is typically referred to as a lag table. With sufficient history, stable submission and ... backwards to esti- mate the balance of the lag table. where k is the payment duration and 0 < CF i,j ...

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    • 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
  • Modeling the Cost of Medical Care for the Elderly
    (cost ratio) Retrospective analysis is provided in Table 1 on page 22. Reliable data on spending by age ... percent) and population (+1.2 per- cent) as shown in Table 2, the rise in the percent- age of health care costs ...

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    • 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
  • Integrating Claims-Based and Survey-Based Data to Estimate Program Savings
    and to make them more data- and evidence-based. Table 1 lists the recorded survey variables. Surveys ... with a means of estimation for other programs. Table 1 Survey Variables Variable Description A Achieved ...

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    • 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
  • Health Care (Pricing) Reform
    Health Care (Pricing) Reform This article discusses ... In n e R S o f T h e h e A lT h W A T C h A R T IC l e C o n T e S T cost ... In n e R S o f T h e h e A lT h W A T C h A R T IC l e C o n T e S T do not ...

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    • Authors: Syed Mehmud
    • Date: May 2012
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Modeling & Statistical Methods>Estimation methods; Predictive Analytics