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  • Better Care Through Understanding the Customer Not Just the Patient
    As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical ... information is captured while patients are in health care facilities. Yet most people spend only a small fraction ...

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    • Authors: James Dolstad, Craig Cartossa, Justin Hartmann
    • Date: Dec 2021
    • Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
  • Opportunities for Bundling Medicare Supplement and Short-Term Care: The Perfect Match?
    Short-Term Care: The Perfect Match? This article describes Medicare Supplement and short-term care products ... as short- and long-term care (STC, LTC) provide coverage for custodial care needs towards the end of ...

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    • Authors: Kenneth J Clark, Robert T Eaton
    • Date: Mar 2021
    • Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Rates - Health & Disability; Long-term Care>Long-term care pricing; Long-term Care>Rates - Long-term Care; Long-term Care>Termination - Long-term Care
  • When Affordability Savings Do Not Reduce Costs
    observations will be closer to the average. Health care actuaries need to understand and be able to mitigate ... costs due to an intervention.” APPLICATION TO HEALTH CARE A 2006 study by the Agency for Healthcare Research ...

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    • Authors: Tony Pistilli
    • Date: Dec 2020
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Regression analysis; Predictive Analytics>Modeling techniques; Predictive Analytics>Quality control & model governance
  • Incorporating Random Effects to Reduce Variance in Risk Score Estimation
    across commercial, Medicare and Medicaid managed care lines of business, including risk-adjusted payments ... projection, measuring savings and assessing quality of care for members. Health risk scores are generally a ...

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    • Authors: Robert Jason Reed (Jason)
    • Date: Jul 2021
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Modeling & Statistical Methods>Estimation methods; Modeling & Statistical Methods>Regression analysis; Predictive Analytics>Modeling techniques
  • Response to March 2021 Practice Note on ASOP 6
    Response to March 2021 Practice Note on ASOP 6 Response to March 2021 Practice Note on ASOP 6 ... associated with enhanced benefits or variance in care management/administrative costs) or are expected ...

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    • Authors: Charles Edwards
    • Date: Aug 2022
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Experience Studies & Data>Morbidity; Health & Disability>Health care