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Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics
Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics The presenters will ...- Authors: Kwame Smart, Mark Russell, Steve Richardson
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Payment models
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Session 040: Viruses: An Actuarial Perspective on Public Health Risks
Session 040: Viruses: An Actuarial Perspective on Public Health Risks HIV is still a big public ... preventive care covered without cost share, actuaries will need to estimate the impact on their care cost.- Authors: Rebecca Owen, Sara Teppema, Ya-Lin Huang, Brian Schwartz
- Date: Jan 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Health care; Public Policy
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Group Life and Health Insurance
Group Life and Health Insurance This discussion at the SOA 1966 Annual Meeting ... rates;Group health plans;Group life plans;Health care costs;Inflation;Medicaid;Medicare;Social Security;Taxes=Taxation; ...- Authors: John H Biggs, Donald D Cody, William A Halvorson, Richard H Hoffman, David R Kass, David Langer, Joseph W Moran, Robert J Myers, Donald M Peterson, Richard J Mellman, William W. Keefer, George J Varga
- Date: Oct 1966
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Health & Disability; Life Insurance>Group plans - Life Insurance
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Formulas, Models, Methods and Techniques
Assumption) For health insurance, C-2 is generally the primary risk. Items included would be health insurance ... pricing are particularly important on long-term-care and disability products, but they do not seem to ...- Authors: Mark E Litow
- Date: Sep 1989
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Actuarial Profession; Health & Disability
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Session 056: Specialty Pharmacy Pipeline Update and Management Concepts for Gene Cell Therapies
Session 056: Specialty Pharmacy Pipeline Update and Management Concepts for Gene Cell Therapies ... earnings volatility and affected members' health care affordability. The presenters will highlight the ...- Authors: Gabriela Dieguez, Kent D. Wangsness, Sanjit Puri
- Date: Jan 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Economics; Economics>Health economics; Health & Disability; Health & Disability>Health insurance
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Individual Life and Health Insurance
Individual Life and Health Insurance These discussions at the 1967 New York and New Orleans ... products. Coinsurance;Disability insurance;Health care costs;Individual health plans;Life reinsurance;Marketing ...- Authors: Albert A Bingham, William C Brown, Richard A Burrows, Waid J Davidson, David Drake, Stanley L Eisner, Leon D Forbes, Harold G Ingraham, Maynard I Kagen, Gerald A Levy, Henry J Martin, Ernest J Moorhead, E James Morton, Thomas K Pennington, Anna M Rappaport, C David Silletto, William M Snell, Dean A Wahlberg, Christopher H Wain, Harry Walker, Edward G Wendt, Martin L Zeffert, Robert Walker, Philip F Finnegan, John C Wooddy, Alton P Morton, Charles Connolly, Edwin B. Lancaster, Archibald H McAulay, Robert T Jackson, Edwin L Bartleson, Frederic P Chapman, Donald J Van Keuren, Reuben I Jacobson, Paul C Moore, Robert K Lawrence, Robert G McLaughlin, Norman C Ford
- Date: Apr 1967
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Annuities>Individual annuities; Health & Disability; Life Insurance
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Session 2A: Essential Actuarial and Analytic Tools and Methods for Health Insurance and Healthcare Management
Session 2A: Essential Actuarial and Analytic Tools and Methods for Health Insurance and Healthcare ... population health and chronic diseases, managed care contracting, insurance market reform, provider payment ...- Authors: Rong Yi
- Date: Jul 2019
- Competency: Communication; External Forces & Industry Knowledge; Leadership; Professional Values; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Session 1A: Upgrading and Development of Health Management and Health Insurance
future development, and product innovation plus care management is key for an insurance company to maintain ... and achieving a high-quality and efficient health care service model. Wellness, Value-based insurance ...- Authors: Yan Yang
- Date: Jul 2019
- Competency: Communication; External Forces & Industry Knowledge; Leadership; Professional Values; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
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Session 020: Provider Reimbursement and Mental Health Parity
closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... NQTLs directly relate to plan’s payments to health care providers: • Coding Edits • UCR Determination ...- Authors: Kristi Bohn, Rebecca Owen, Irvin Muszynski
- Date: Jan 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Public Policy; Health & Disability>Provider networks
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Individual Life and Health Insurance
developed (e.g., rehabilita- tion benefits, extended care coverage, dental benefits, outpatient benefits) ... impairment involved. 2. Extended care benefits.--The "extended care" benefit has been around for a number ...- Authors: William C Brown, Gary K Drown, William A Halvorson, Robert E Hunstad, Lee H Kemper, Meno T Lake, Walter N Miller, Larry R Robinson, William Henry Schmidt, Anthony Spano, Stephen N Steinig, Robert C Tookey, Paul D Yeary, Alexander Marshall, Elgin Robertson Batho
- Date: Oct 1968
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Health & Disability; Life Insurance