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Profiling Physician Performance
Profiling Physician Performance Panelists discuss the methods HMOs employ to measure their providers' quality of care, outcomes, compliance with best practice guidelines, and cost ...- Authors: Joel C Hoffman, David Josephson, David Terry, John C Vataha, Kelly Myers
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Ethics; Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Regression analysis; Modeling & Statistical Methods>Simulation
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Linking Quality and Cost: An Analysis of the Hospital Quality Information Initiative Measures
Linking Quality and Cost: An Analysis of the Hospital Quality Information Initiative Measures Analysis of possible mathematical relationships between hospital quality and hospital billed or ...- Authors: John Cookson, Eileen A Kurtz
- Date: Nov 2006
- Competency: Communication; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Experience Studies & Data; Health & Disability>Health care quality; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare
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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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New Research Study Measurement of Health Care Quality and Efficiency: Resources for Health Care Professionals
New Research Study Measurement of Health Care Quality and Efficiency: Resources for Health Care Professionals Review of a research project, co-sponsored by the SOA, which examined 83 ...- Authors: Sara Teppema
- Date: Sep 2009
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Modeling & Statistical Methods>Data mining; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence
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Financial Measurement of Transplants
Financial Measurement of Transplants Panel discussion, by a physician and an actuary, about the historical forces behind various trends in organ transplant experience data. Health care ...- Authors: Richard Hauboldt, Harry L Sutton, Del Ohrt
- Date: Jun 1996
- Competency: Communication>Difficult message delivery; Professional Values>Ethical standards; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Best practices; Experience Studies & Data>Morbidity; Health & Disability>Health care quality; Modeling & Statistical Methods>Data mining