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Session 020: Provider Reimbursement and Mental Health Parity
Session 020: Provider Reimbursement and Mental Health Parity MHPAEA prohibits health plans from imposing financial requirements or treatment limitations on behavioral health benefits that are ...- Authors: Kristi Bohn, Rebecca Owen, Irvin Muszynski
- Date: Jan 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Public Policy; Health & Disability>Provider networks
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Session 040: Viruses: An Actuarial Perspective on Public Health Risks
Session 040: Viruses: An Actuarial Perspective on Public Health Risks HIV is still a big public health concern, but there are therapies available to prevent infection before and immediately after ...- Authors: Rebecca Owen, Sara Teppema, Ya-Lin Huang, Brian Schwartz
- Date: Jan 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Health care; Public Policy
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Session 056: Specialty Pharmacy Pipeline Update and Management Concepts for Gene Cell Therapies
Session 056: Specialty Pharmacy Pipeline Update and Management Concepts for Gene Cell Therapies The evolving specialty pharmacy environment has created difficulties for actuaries pricing and ...- Authors: Gabriela Dieguez, Kent D. Wangsness, Sanjit Puri
- Date: Jan 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Economics; Economics>Health economics; Health & Disability; Health & Disability>Health insurance
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Session 164: Premium Distribution and Market Competitiveness Under Rate Regulation
Session 164: Premium Distribution and Market Competitiveness Under Rate Regulation Presenters will address optimal new business written premium mix at the firm and state levels under varying ...- Authors: Robert P Montgomery, Zia Rehman
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: General Insurance (Property & Casualty); General Insurance (Property & Casualty)>Pricing/ratemaking - General Insurance; Health & Disability; Health & Disability>Rates - Health & Disability
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Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics
Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics The presenters will provide insights into fraud and abuse risk in the health insurance industry, including an ...- Authors: Kwame Smart, Mark Russell, Steve Richardson
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Payment models
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Session 084: Predictive Analytics in Group Life and Disability Experience
Session 084: Predictive Analytics in Group Life and Disability Experience The presenters will discuss predictive analytics as applied to recent group life and disability experience studies and ...- Authors: Michael Hoyer, David Wall
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Disability insurance; Modeling & Statistical Methods
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Session 096: IDEC Update
Session 096: IDEC Update The Individual Disability Experience Committee (IDEC) of the SOA has gathered industry data covering 2006-2015. The presenters will highlight findings on the recent ...- Authors: Jay Barriss, Robert Beal
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Experience Studies & Data; Experience Studies & Data>Disability; Health & Disability; Health & Disability>Disability insurance
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Session 169: Risk Adjustment in Medicaid: Recent Developments
Session 169: Risk Adjustment in Medicaid: Recent Developments The presenters will cover the variation in risk adjustment approaches used across state Medicaid programs and compare them to other ...- Authors: Edward M Mailander, Daniel Henry
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Payment models; Public Policy; Public Policy