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Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews Identifying and submitting all appropriate ICD-9 diagnosis codes to CMS will result in a higher risk score for the ...- Authors: Corey Berger, Eric P Goetsch
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
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Horses for Courses
Horses for Courses Explores the open vs. closed systems debate with regards to actuarial modeling and exposes the over-simplification. Valuable for anyone who uses models. stochastic models; ...- 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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Own The Problem - That's Where To Start. Says Actuary -Tuned-Exec
Own The Problem - That's Where To Start. Says Actuary -Tuned-Exec This article is about Stanley B. Tulin's actuarial career and lessons he has learned regarding what leads to a ...- Authors: Jacqueline Bitowt
- Date: Oct 1997
- Competency: Communication; External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Professional development; Actuarial Profession>Traditional careers
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Predictive Modeling Techniques Applied to Quantifying Mortality Risk
Predictive Modeling Techniques Applied to Quantifying Mortality Risk Using the Cox proportional Hazards Model to improve underwriting debits and credits. Mortality risk;Longevity risk;Life ...- Authors: Vincent Granieri
- Date: Jul 2016
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Experience Studies & Data>Mortality; Life Insurance>Underwriting - Life Insurance; Predictive Analytics
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Letter From the Chair
Letter From the Chair Life can get very busy and disruptive. So was the case with our January 2012 edition of NewsDirect, which didn't get published. Had that edition made it out the door you ...- Date: Sep 2012
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>General business skills; Leadership>Thought leadership; Professional Values>Practice expertise; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: News Direct
- Topics: Actuarial Profession>Professional development
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Modeling Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance
Modeling Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance A new health insurance pricing model takes external market prices into account, as well as ...- Authors: D Wei
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health risks; Modeling & Statistical Methods; Technology & Applications>Analytics and informatics
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The Impact of Obesity and Diabetes on LTC Disability and Mortality: Population Estimates from the National Long-Term Care Survey
The Impact of Obesity and Diabetes on LTC Disability and Mortality: Population Estimates from the National Long-Term Care Survey Discussion of the separate and joint effects of obesity and ...- Authors: P J Stallard
- Date: Sep 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Long-Term Care News
- Topics: Experience Studies & Data>Disability; Experience Studies & Data>Mortality; Health & Disability>Chronic health management - Health & Disability; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods
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Premiums in Regional Health Alliances Under the Clinton Administration's Proposed Health Security Act
Premiums in Regional Health Alliances Under the Clinton Administration's Proposed Health Security Act This actuarial memorandum represents the first, formal actuarial opinion regarding ...- Authors: P Anthony Hammond
- Date: Jan 1995
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations
- Publication Name: Actuarial Research Clearing House
- Topics: Economics>Health economics; Public Policy; Public Policy
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Accelerated Underwriting: A Transformational Trend
Accelerated Underwriting: A Transformational Trend Defines Accelerated Underwriting programs as a transformational trend, and outlines a process for evaluating mortality implications of such ...- Authors: Richard Pretty
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; 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: Product Matters!
- Topics: Life Insurance>Underwriting - Life Insurance; Predictive Analytics
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With Age Comes Wisdom:Understanding Maturity Extension Rider
With Age Comes Wisdom:Understanding Maturity Extension Rider This article examines potential impacts of old age mortality and how it affects maturity extension riders for universal life.- Authors: Connie Cheng, Anji Li Zhao
- Date: Mar 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Reinsurance News
- Topics: Life Insurance>Product development - Life Insurance; Life Insurance>Universal life