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Improving Medicare Advantage Star Ratings: An Analytical Framework
Improving Medicare Advantage Star Ratings: An Analytical Framework This paper outlines ... Medicare;Premiums;Preventive care;Statistical methods;Health care quality;Health care reform;Health insurance;Health ...- Authors: Puneet Budhiraja, Rajesh Munjuluri
- Date: Oct 2018
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Technology & Applications>Analytics and informatics
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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 ...- 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
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Horses for Courses
value crediting, dividend payments, or mode of care benefit maximums); • Guarantees such as minimum ... granularity and detail of calculations also has a direct relationship with the time required to complete ...- Authors: Van Beach
- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Change management; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: CompAct
- Topics: Modeling & Statistical Methods>Asset modeling; Modeling & Statistical Methods>Deterministic models; Modeling & Statistical Methods>Dynamic simulation models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Simulation; Modeling & Statistical Methods>Stochastic models; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence; Technology & Applications>Computer science; Technology & Applications>Data warehousing; Technology & Applications>Software
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Exploring New Actuarial Ideas and Applications through Research
and Their Relationship with the Cost of Health Care, serves as a resource used by health actuaries ... continues to invest in necessary health care, long-term care and retirement research, from longevity ...- Authors: R. Dale Hall
- Date: Feb 2016
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Academic partnerships; Demography>Longevity; Technology & Applications>Analytics and informatics
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CompAct - April 2017 Issue 55
the data you need. Secondly, by establishing a direct connection that can be scheduled to refresh, ... unlist((strsplit(line, “,”))) # Extract the columns we care about product <- line[2] premium <- as.numeric(line[3]) ...- Authors: Society of Actuaries
- Date: Apr 2017
- Competency: External Forces & Industry Knowledge>General business skills
- Publication Name: CompAct
- Topics: Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence; Technology & Applications>Computer science
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Small Talk, September 2017, Issue 48
year—using LIMRA sales mix data. Reserves are on a direct basis. Triple X reserves used an X factor of 60 ... emerging PBR requirements for annuities, long-term care, and long-term dis- ability have the same exemptions ...- Date: Sep 2017
- Competency: 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: Small Talk
- Topics: Technology & Applications>Analytics and informatics
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Effective Communication of Stochastic Model Results
value crediting, dividend payments, or mode of care benefit maximums); • Guarantees such as minimum ... granularity and detail of calculations also has a direct relationship with the time required to complete ...- Authors: Society of Actuaries
- Date: Oct 2017
- Competency: Communication>Written communication
- Publication Name: CompAct
- Topics: Technology & Applications>Analytics and informatics; Technology & Applications>Computer science
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The Power of Predictive Analytics
doing an actuarial rotation in Aetna’s managed care product management unit. We were tasked with understanding ... see the role of predictive analytics in health care changing in the next five to 10 years? Where will ...- Authors: Society of Actuaries
- Date: Apr 2016
- Competency: Leadership>Professional network leverage; Leadership>Thought leadership
- Publication Name: The Actuary Magazine
- Topics: Predictive Analytics; Technology & Applications>Analytics and informatics
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Small Talk, March 2017, Issue 47
representing industry averages should be used with care, recognizing that 6 | MARCH 2017 SMALL TALK ... many resources. There were numerous Affordable Care Act (ACA) sessions that were all interesting, but ...- Authors: Society of Actuaries
- Date: Mar 2017
- Competency: 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: Small Talk
- Topics: Technology & Applications>Analytics and informatics