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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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Extracting Medical Data From Wikipedia
Extracting Medical Data From Wikipedia This paper describes techniques that can be used to access any specific piece of information in Wikipedia, such as medical information. Predictive ...- Authors: Alexandru Andrei
- Date: Dec 2018
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Predictive Analytics
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Case 3: Improving LTC Projections with Predictive Analytics
Case 3: Improving LTC Projections with Predictive Analytics Third article in a series on how to use predictive analytics to improve the development of long-term care projection assumptions.- Authors: Missy Gordon, Joseph Long
- Date: Aug 2018
- Competency: Professional Values>Practice expertise; 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: Long-Term Care News
- Topics: Experience Studies & Data>Long-term care - Experience Studies & Data; Long-term Care>Long-term care insurance; Modeling & Statistical Methods>Regression analysis; Predictive Analytics
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Shiny: Another Step Forward in Data Democratization
Shiny: Another Step Forward in Data Democratization An introduction to creating Shiny web applications, with sample code available to reproduce the interactive application displayed in ...- Authors: Eileen Sheila Burns
- Date: Apr 2018
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Predictive Analytics
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Introduction to PMML in R
Introduction to PMML in R Introduction to PMML and how to use of it in the R programming language. PMML is an interchange format for predictive models. predictive modeling 6442483963 8/1/2018 12: ...- Authors: Jeff T Heaton
- Date: Aug 2018
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Predictive Analytics
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The Dawn of the Machine- to- Machine Age and Its Implications for Insurance
The Dawn of the Machine- to- Machine Age and Its Implications for Insurance As M2M are exponentially increasing, we will soon see reinventing of whole business models and customer relationships.- Authors: Syed Danish Ali
- Date: May 2018
- Competency: Leadership>Thought leadership; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Actuary of the Future
- Topics: Predictive Analytics; Technology & Applications>Analytics and informatics
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Proactively Managing Life Insurance Risks
Proactively Managing Life Insurance Risks The article explores the possibility of using the emerging technology for life insurers to build a monitor system for better risk and profitability ...- Authors: Feng Sun, Amy Tran
- 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: Enterprise Risk Management; Experience Studies & Data>Mortality; Life Insurance>Product development - Life Insurance; Predictive Analytics
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Outgoing Chairperson's Note
Outgoing Chairperson's Note Summary of what the section has accomplished over the past year. Predictive Analytics;Predictive modeling;Professional development;Analytics and informatics ...- Authors: Anders Larson
- Date: Dec 2018
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Predictive Analytics
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Assessing Prescription Opioid Risk with Predictive Analytics
Assessing Prescription Opioid Risk with Predictive Analytics We highlight a new approach leveraging predictive analytics to identify high risk and rising risk opioid users for more effective ...- Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; 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: Health Watch
- Topics: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
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Why Actuaries Should Welcome Automation
Why Actuaries Should Welcome Automation Why Actuaries Should Welcome Automation Futurism;Process Redesign;Artificial intelligence;Technology;Automation;Robotics 6442483966 8/1/2018 12:00:00 AM ...- Authors: Nathan Dennis Pohle, Darryl Wagner
- Date: Aug 2018
- Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Competencies; Actuarial Profession>Professional development; Actuarial Profession>Traditional careers; Predictive Analytics