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Health Organization Risk-Based Capital
Health Organization Risk-Based Capital Presented at September 1995 Valuation Actuary Symposium. Discusses the Health Organization Risk-Based Capital formula. Health maintenance organization= ...- Authors: Peter Lynn Perkins, Michael Thompson, William J Thompson, Robert E Wilcox, Donna C Novak
- Date: Sep 1995
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Enterprise Risk Management>Capital management - ERM; Health & Disability>Health insurance
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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; 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: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
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Shifting Focus: Financial Management to Patient Management to Patient Management
Shifting Focus: Financial Management to Patient Management to Patient Management Presented at June 1996 Spring Meeting. This discussion looks at redirecting the traditional role of the ...- Authors: Joyce Li, David Terry, Philip Turner, Randall S Vollertsen
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance