Description: CMS provides ACOs with monthly claims data for members, including their medical visits and ACO program eligibility. This data can be divided into Membership and Claims tables through the ETL process. However, when calculating PMPY at specific levels of detail using these tables, issues arise due to unrelated dimensions, leading to inaccurate and understated results. This article presents a solution to this problem by utilizing Tableau's data blending capabilities.

Description: Using the Internet as a Pricing Tool clinical background information, defining the change in coverage, collecting data, data quality and data limitations. Issue No. 39.

Description: This paper is from Transactions of Society of Actuaries 1955 Volume 7, Number 17. The author notes that recent advances in calculating equipment make possible producing graduations much more elaborate than any done previously. The paper confines itself to the problem of graduating a single column of rates, such as an ultimate column, using a Whittaker-Henderson B graduation of the fourth order. The author provides a detailed description of the process with significant mathematical theory.