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Health Insurance and the Valuation Actuary
testing;Disability insurance;Group health plans;Health care reform;Health maintenance organization=HMO ;Health ... valuation tables;Long-term care=LTC;Long-term care insurance=LTCI;Managed care;Medicaid;Medicare;National ...- Authors: Application Administrator, Michael Francescone, Frank E Knorr, Glenn A Giese
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Health & Disability>Health care; Health & Disability>Health insurance; Long-term Care>Long-term care 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 ... Health care fraud;Predictive modeling;Medicare;Health insurance;Health economics;Health care costs;Data ...- 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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Medicare + Choices: Impact of Self-Selection
Medicare + Choices: Impact of Self-Selection Panelists discuss different aspects ... management;Health care costs;Health insurance;Health maintenance organization=HMO ;Health risks;Managed care;Medicare;Risk ...- Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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The Individual ACA Market—What’s Next?
risk profile between the transitional Affordable Care Act (ACA) period (2014-2016) and under the final ... take on substantially more risk. PPACA;Affordable Care Act;Individual health plans;Health insurance;Risk ...- Authors: Kurt Wrobel
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance; Pensions & Retirement>Risk management; Public Policy
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Strategies for Leveraging the ACA Risk Adjuster
of diagnosis coding, controlling member mix, and care management in order to mitigate risks and gain from ... score;Healthcare Reform;Coding Improvement;Affordable Care Act;Commercial risk adjuster 6442451575 10/1/2013 ...- Authors: Jason Siegel
- Date: Oct 2013
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks
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Risk Selection In Multiple Choice Benefit Programs
dental, the prescription drug, and the preventive care package would have the highest loadings because ... llfe) III (Optional Life and SIB) IV Preventive Care Package V Dependent Life VI Prescription Drugs ...- Authors: Ronald J Becker, Robert J Dymowski, Peter L Hutchings, Frank R Kopenski
- Date: Oct 1985
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Health Company Pandemic Modeling Tool
Charge Adj.* 50% 0% 10% 50% (21) % Needing ICU Care 15.0% 7.5% 15.0% 15.0% (22) % Needing Ventilators ... 500,000 2,500,000 2,750,000 100% 110% (30) Family Care Factor 1.5 0.5 1.0 1.5 200% 300% * Reduction in ...- Authors: Jim Toole
- Date: Jun 2010
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
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Financial Projection of Health Coverage - Short-Term Projections
Financial Projection of Health Coverage - Short-Term Projections Presented at September 1994 ... that we think that that's when national health care insurance will go through. And at that point, you're ...- Authors: Robert A Nelson
- Date: Sep 1994
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Topics: Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Health insurance