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  • Building Actuarial Cost Models From Health Care Claims Data
    Building Actuarial Cost Models From Health Care Claims Data Using Healthcare Claims Data to Create Actuarial ... Business intelligence;Data mining=Big data;Managed care 6442476744 6/1/2017 12:00:00 AM ...

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    • Authors: William Bednar
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence
  • Developing a Population Health Management Program for a Long-Term Care Insurance Product
    Population Health Management Program for a Long-Term Care Insurance Product Medical management programs have ... premium-paying portion of a claimant's life. Health care costs;Health risks;Risk metrics;Disease management; ...

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    • 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
  • Rethinking Family Tiers
    Rethinking Family Tiers A closer look at family tier factor rating assumptions, and how well they reflect ... claim cost data. Assumptions;Family coverage;Health care costs; 25712 1/1/2011 12:00:00 AM ...

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    • Authors: Kristi Bohn
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Modeling & Statistical Methods>Data mining; Technology & Applications>Analytics and informatics
  • A Day in the Life of Adorable
    before they occur, and online shopping for health care specifically offered to the owners of this type ... boss was also excited to hear what one of his new direct reports had to say. James knew that Ador- able ...

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    • Authors: Allen Klein
    • Date: Oct 2018
    • Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Product Matters!
    • Topics: Life Insurance>Product development - Life Insurance; Technology & Applications>Analytics and informatics
  • Horses for Courses
    value crediting, dividend payments, or mode of care benefit maximums); • Guarantees such as minimum ... granularity and detail of calculations also has a direct relationship with the time required to complete ...

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    • Authors: Van Beach
    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Change management; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: CompAct
    • Topics: Modeling & Statistical Methods>Asset modeling; Modeling & Statistical Methods>Deterministic models; Modeling & Statistical Methods>Dynamic simulation models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Simulation; Modeling & Statistical Methods>Stochastic models; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence; Technology & Applications>Computer science; Technology & Applications>Data warehousing; Technology & Applications>Software
  • Projected Cost Analysis of Potential Medicare Pharmacy Plan Designs
    significant current public policy issues in health care is the lack of coverage for prescription drugs ... prescription drug claims data provided by Medicare managed care contributors and contains experience for over 50 ...

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    • Authors: Lynette Trygstad, Timothy Feeser, Corey Berger
    • Date: Jul 2003
    • Competency: External Forces & Industry Knowledge; Leadership>Change management; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Economics>Health economics; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Forecasting; Public Policy; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
  • GDPR Implications in Actuarial Work
    modelling the pricing of their products. Health care is another topic where data breaches and cyberattacks ... breaches and cybercrime or cyberattacks in the health care business attract an inordinate amount of media and ...

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    • Authors: Carlos Arocha, PETRA WILDEMANN
    • Date: Sep 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Ethical standards; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: International News
    • Topics: Actuarial Profession>Standards of practice; Enterprise Risk Management>Compliance; Technology & Applications>Analytics and informatics; Technology & Applications>Data warehousing
  • Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
    The results are focused primarily on coordinated care plans (local HMOs, local PPOs and regional PPOs) ... Gender CHART 1 HCC Survey Results Coordinated Care Plan members (1) Includes All 70 HCCs (2) CHART ...

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    • 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
  • Operational Considerations in Predictive Modeling
    Operational Considerations in Predictive Modeling This article summarizes some of the operational ... appropriate exposure unit and matched together by a primary key. Now let’s add external data. It could take ...

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    • Authors: Christine Hofbeck
    • Date: May 2014
    • Competency: Results-Oriented Solutions>Actionable recommendations; Results-Oriented Solutions>Assess decision effectiveness
    • Publication Name: Health Watch
    • Topics: Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence