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  • Predictive Modeling - Current Practices and Future Applications
    actuaries. Dick was M&R chief medical officer for the care guidelines division, and he was also a consultant ... groupers or risk adjustors, and so that's your primary knowledge about this. But we were trying to think ...

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    • Authors: Application Administrator, Richard L Liliedahl, Teresa Keane-North
    • Date: Jun 2003
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability
  • Group ASO and Minimum Premium Plans
    problems for them to charge back to a specific job any direct-claim payments in a month where the claims had ... arrange the plan so that it is second and not primary? MR. BARKSDALE: Quality of claims control varies ...

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    • Authors: Application Administrator, William Cunningham, Richard G Murdock, Richard J Barksdale
    • Date: Jun 1978
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability
  • Claim Processing Technology
    honest about submitting claims, Now that managed care is here and the physician arc reacting to it, there ... economic reasons as well. Therein lies why you should care about expert systems. What you really need is the ...

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    • Authors: Leslie Levy, Clifford L Bateman
    • Date: Apr 1989
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability; Health & Disability>Electronic medical record
  • Data Quality Concerns for Health Actuaries
    member of the sponsoring organizations, is a health care consultant for Milliman USA, in Hartford, CT. ... client reporting. David Williams is a health care consultant for Milliman USA, formerly Milliman & ...

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    • Authors: James E Drennan, Karl Volkmar, John Crooks, David V Williams
    • Date: May 2001
    • Competency: Professional Values; Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Actuarial Profession>Standards of practice; Health & Disability
  • Introduction to Research Methods
    Rosenberg Summary: Relatively little health-care actuarial research is published in the actuarial ... Health Care Sections. I'm on the Education and Research Council, as well as being a health-care actuary ...

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    • Authors: Ian G Duncan, Marjorie Rosenberg, Henry Dove
    • Date: Jun 2005
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Actuarial Profession; Health & Disability
  • Incurred But Not Reported Liability Estimation
    liabilities. Mr. James P. Galasso: I'm a health care actuarial partner in the Atlanta office of Ernst ... earnings power out of their organization, more health care companies are extending their asset base to longer-duration ...

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    • Authors: James Galasso, J Martin Shipp, Robert F Warren
    • Date: May 1997
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability
  • Group ASO and Minimum Premium Plans
    should not go up as fast as the cost of medical care goes up ? MR. SWERDLOW: If we use the percentage ... fiting through virulent cost inflation on medical care at a rate that out- paces the normal cost inflation ...

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    • Authors: Alan D MacLennan, Henry Siegel, Laurence Swerdlow, Stephen E White
    • Date: May 1978
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability; Public Policy
  • Tobacco Use: Contemporary Issues in Risk Classification and Risk Selection
    Tobacco Use: Contemporary Issues in Risk Classification and Risk Selection 1994 SOA Spring ... and tobacco's contribution to accelerating health care costs and early deaths among Americans. If you read ...

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    • Authors: Kevin A Seglem, Henry C George
    • Date: May 1994
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability; Life Insurance