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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 ...

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    • 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
  • Article Title * Producing Actionable Insights from Predictive Models Built Upon Condensed Electronic Medical Records
    Article Title * Producing Actionable Insights from Predictive Models Built Upon Condensed ... the health practice. Predictive Modeling;Health Care Costs;Health Economics 6442465066 12/1/2015 12:00:00 ...

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    • Authors: Sheamus Parkes
    • Date: Dec 2015
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Economics>Health economics
  • Design and Pricing of Tiered Network Health Plans
    Design and Pricing of Tiered Network Health Plans This article discusses the advantages, logistical ... quality and cost-effectiveness standards. Accountable care organizations= ACO;Assumptions;Behavioral econo ...

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    • Authors: Peter Horman
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Modeling & Statistical Methods
  • New Actuarial Concepts - Health Expectancy: A Different Look at the Future
    New Actuarial Concepts - Health Expectancy: A Different Look at the Future An examination of the underlying reasons ... tool. Health economics;Health factors;Long-term care=LTC; 7690 4/1/2004 12:00:00 AM ...

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    • Authors: James C Brooks
    • Date: Apr 2004
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Actuary of the Future
    • Topics: Actuarial Profession>Alternative careers; Economics>Health economics
  • SOA Long Term Trends Valuation Model Webinar Questions
    SOA Long Term Trends Valuation Model Webinar Questions Responds to questions received ... model, and the effect of the globalization of health care. Globalization;Risk modeling; 7049 4/1/2008 12:00:00 ...

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    • Authors: Thomas Getzen
    • Date: Apr 2008
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Topics: Economics>Health economics; Long-term Care>Medical expenses; Modeling & Statistical Methods>Forecasting
  • Quality of Life of the Elderly
    discussions in reimbursement and coverage of long-term care. I must point out that the paper completes ... cost of long-term care to individuals and society. More money is spent on long-term care for women than ...

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    • Authors: Deborah Briceland-Betts
    • Date: Jan 2008
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Topics: Demography>Gender factors; Economics>Health economics; Social Insurance>Survivor benefits