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  • Assessing Prescription Opioid Risk with Predictive Analytics
    Assessing Prescription Opioid Risk with Predictive Analytics We highlight a new approach leveraging predictive analytics to identify high risk and rising risk opioid users for more effective ...

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    • Authors: Joseph Boschert, Andrew Gaffner, Barbara Collier
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Demography>Population data; Experience Studies & Data; Health & Disability>Health information technology; Modeling & Statistical Methods>Data mining; Predictive Analytics; Technology & Applications>Analytics and informatics; Health & Disability>Electronic medical record
  • Bariatric Surgery Holds Promise for Patients and for Payors
    Bariatric Surgery Holds Promise for Patients and for Payors An economic analysis of bariatric surgery and health care costs supports the case for health plans to cover these procedures. Health ...

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    • Authors: John Dawson, Pierre-Yves Cremieux, Arindam Ghosh
    • 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: Economics>Health economics; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining
  • Retirees versus Active Workers: What is the Cost Difference?
    Retirees versus Active Workers: What is the Cost Difference? Comparison of healthcare costs for early retirees versus active workers in the same age band. When adjusted for age, there is not a ...

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    • Authors: Kristi Bohn, Sarah Legatt
    • Date: May 2011
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Demography>Population data; Modeling & Statistical Methods>Data mining
  • To Err is Human, To Estimate is Actuarial
    To Err is Human, To Estimate is Actuarial Realizing the impact of medical errors on the U.S. health care system, the Health Section commissioned a research project to measure the annual frequency ...

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    • Authors: Steven Siegel
    • Date: Sep 2010
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Academic partnerships; Economics>Health economics; Experience Studies & Data; Modeling & Statistical Methods>Data mining
  • 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 ...

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

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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
  • Estimates of the Incidence, Prevalence, Duration, Intensity and Cost of Chronic Disability Among the U.S. Elderly
    Estimates of the Incidence, Prevalence, Duration, Intensity and Cost of Chronic Disability Among the U.S. Elderly A study of disability experience examines cost burden and degree of disability, ...

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    • Authors: P J Stallard
    • Date: Feb 2009
    • Competency: Communication>Written communication; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Long-Term Care News
    • Topics: Actuarial Profession>Professional associations; Demography>Longevity; Experience Studies & Data>Disability; Long-term Care>Medical expenses; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Markov Chain
  • The Impact of Obesity and Diabetes on LTC Disability and Mortality: Population Estimates from the National Long-Term Care Survey
    The Impact of Obesity and Diabetes on LTC Disability and Mortality: Population Estimates from the National Long-Term Care Survey Discussion of the separate and joint effects of obesity and ...

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    • Authors: P J Stallard
    • Date: Sep 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: Long-Term Care News
    • Topics: Experience Studies & Data>Disability; Experience Studies & Data>Mortality; Health & Disability>Chronic health management - Health & Disability; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Estimation methods
  • Modelling Process
    Modelling Process An introduction of predictive modeling techniques that are applicable to insurance industry, including generalized linear model (GLM) and classification and regression tree ...

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    • Authors: Qichun Xu
    • Date: Dec 2013
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Regression analysis; Predictive Analytics
  • What Big Data is, and How to Deal with It
    What Big Data is, and How to Deal with It This article describes the history and in some respects, the future of Big Data, and the tools we can use to handle it for PM and for machine learning.

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    • Authors: Jeff T Heaton
    • Date: Jul 2015
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Modeling & Statistical Methods>Data mining; Predictive Analytics