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Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews Identifying and submitting all appropriate ICD-9 diagnosis codes to CMS will result in a higher risk score for the ...- Authors: Corey Berger, Eric P Goetsch
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
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Session 039: Innovation in Health Insurance Underwriting
Session 039: Innovation in Health Insurance Underwriting Underwriting is one of several areas in the insurance industry being impacted by insurtech. In this session, we will hear from ...- Authors: Chris E Stehno
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks; Technology & Applications>Analytics and informatics
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Modeling Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance
Modeling Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance A new health insurance pricing model takes external market prices into account, as well as ...- Authors: D Wei
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health risks; Modeling & Statistical Methods; Technology & Applications>Analytics and informatics
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Developing a Population Health Management Program for a Long-Term Care Insurance Product
Developing a Population Health Management Program for a Long-Term Care Insurance Product Medical management programs have traditionally addressed more acute and short-term issues with chronic ...- Authors: Jeff Underhill, Don Fetterolf, Geoffrey Walton
- Date: Dec 2007
- Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Health risks; Long-term Care>Chronic health management - Long-term Care; Technology & Applications>Analytics and informatics
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Health Risk Assessments in a Protected Environment
Health Risk Assessments in a Protected Environment A discussion of permissible use and collection of genetic information for Health Risk Assessments and wellness programs under the Genetic ...- Authors: John C Cameron
- Date: May 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Ethical standards
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Public Policy; Technology & Applications>Analytics and informatics
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Session 108: Outcome Based Risk Sharing Arrangements – From Theory to Practice
Session 108: Outcome Based Risk Sharing Arrangements – From Theory to Practice The proposed session will introduce Outcome Based Risk Sharing Arrangements (“OBRSA”) between health insurance payers ...- Authors: Karl J. Gregor, Whitney Pratt, Jim Xun Jun Li
- Date: May 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health risks; Technology & Applications>Analytics and informatics