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Soundbites from the American Academy of Actuaries' Health Practice Council Activities
December 2010, HHS released interim final regulations (IFRs) to implement the MLR requirements under ACA. In ... submitted comments1 addressing technical aspects of the IFRs to improve clarity and internal consistency, including ...- Authors: Heather E Jerbi, Tim M Mahony
- Date: May 2011
- Competency: Communication>Written communication; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability; Public Policy
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Incurred Health Claims:One Lag Report is Not Enough
Incurred Health Claims:One Lag ... 0 0 1 10 /2 0 0 1 P re -N o v 0 0 6 ,5 17 ,3 77 0 0 0 0 0 0 0 0 0 0 0 0 11 /2 0 0 ... 0 0 0 5 /2 0 0 1 3 3 ,9 9 6 3 6 ,4 9 4 17 ,6 3 1 13 4 ,5 5 6 3 5 7, 0 2 1 6 6 7, 3 ...- Authors: Henry Frantz
- Date: Apr 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability; Modeling & Statistical Methods
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Health Section Issues New IBNR Study
Health Section Issues New IBNR Study ... alternative business situations. (See box on page 17 for a listing of the IBNR methods which were tested ... ssiegel@soa.org. Health Watch | FEBRUARY 2010 | 17 ...- Authors: Steven Siegel, Cabe Chadick
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Financial Reporting & Accounting; Health & Disability>Health care; Modeling & Statistical Methods>Modeling efficiency
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Comparison of Risk Adjusters
Issue No. 44 HEALTH SECTION NEWS | OCTOBER 2002 | 17 We recently finished a research projectthat compares ... SECTION NEWS COMPARISON OF RISK ADJUSTERS | FROM PAGE 17 Bob Cumming, FSA, MAAA, is principal with Mill ...- Authors: Robert Cumming
- Date: Oct 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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Simple and Effective Reserve Practices
Simple ... accuracy. DECEMBER 2015 HEALTH WATCH | 17 In this example, we used the weighting technique ... Variance 0.07 0.01 Proposed Future Weights 0.86 0.14 17% 40% 30% 20% 10% 0% –10% –20% –30% 0% −11% ...- Authors: Christopher Coulter, Dale Cap, Kevin McCoy
- 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: Health & Disability>Health insurance; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science
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Article Title * Producing Actionable Insights from Predictive Models Built Upon Condensed Electronic Medical Records
Article ... accuracy. DECEMBER 2015 HEALTH WATCH | 17 In this example, we used the weighting technique ... Variance 0.07 0.01 Proposed Future Weights 0.86 0.14 17% 40% 30% 20% 10% 0% –10% –20% –30% 0% −11% ...- 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
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The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help?
pharmaceutical benefit trends have increased at rates of 17 percent to 18 percent.ii These pharmaceutical cost ... 2002-2003. Available at www.amcp.org. Accessed February 17, 2004. xvi Neumann, P. Evidence-based and value-based ...- Authors: Jonathan L Shreve, Jill Van Den Bos, John Watkins, Kristin Reed
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Health Watch, Issue 79, December 2015, Health Watch
gov/pubmed/22361992. 4 http://healthaff airs.org/blog/2015/02/17/in-the-debate-about-cost-and-eff icacy- pcsk9-i ... With Cancer Coverage 20 8% 11% 30 11% 13% 40 17% 24% 50 20% 24% 60 20% 24% Approximate Percentage ...- Authors: Society of Actuaries
- Date: Dec 2015
- Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Professional Values>Ethical standards; Relationship Management>Team leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; 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: Experience Studies & Data>Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science
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Critical Illness Overview - 2015 Update
Critical Illness Overview - 2015 Update Article Description * A review of Critical Illness products ... With Cancer Coverage 20 8% 11% 30 11% 13% 40 17% 24% 50 20% 24% 60 20% 24% Approximate Percentage ...- Authors: Rex Durington
- Date: Dec 2015
- Competency: Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional development; Health & Disability>Critical illness insurance
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The Art & Science of Pricing Small Group Medical Coverage: Initial Pricing Schemes
The Art & Science of Pricing Small Group Medical Coverage: Initial Pricing Schemes ... Ireland by Aisling Kennedy .........................17 Part One: A Short History of A New Product by Johan ...- Authors: William Lane
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance