Refine your search
1 - 10 of 17 results (0.38 seconds)
Sort By:
  • Session 100: Beyond Claims: Unlocking the Power of EMR and Real-Time Clinical ADT Data
    Session 100: Beyond Claims: Unlocking the Power of EMR and Real-Time Clinical ADT Data While medical and pharmacy claims data is a well-established source for healthcare analytics, significant ...

    View Description

    • Authors: Yuancheng Zhao , Kelvin George Wursten , Andrew Sinden Loewer
    • Date: May 2019
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Technology & Applications>Data warehousing; Health & Disability>Electronic medical record
  • 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 ...

    View Description

    • 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
  • Claim Processing Technology
    Claim Processing Technology This session discussion is about claim processing technology. Its artificial intelligence, medical expert systems, optical scanning and electronic claim submission.

    View Description

    • 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
  • The Missing 1 Percent
    The Missing 1 Percent A discussion of insurance claims processing and payment systems, and how to achieve the minimum possible number of errors. Audits;Claims processing;Claims review;Data ...

    View Description

    • Authors: Jim Del Vecchio
    • Date: May 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Long-Term Care News
    • Topics: Health & Disability>Health information technology; Health & Disability>Electronic medical record
  • Automating the Underwriting Process
    Automating the Underwriting Process NewsDirect article that discusses the benefits of automating the underwriting process. Underwriting speed, the east of case submission and sales support stand ...

    View Description

    • Authors: Susie Cour-Palais
    • Date: Jan 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: News Direct
    • Topics: Life Insurance>Underwriting - Life Insurance; Technology & Applications>E-commerce; Health & Disability>Electronic medical record
  • Innovation in the Canadian Life Insurance Industry
    Innovation in the Canadian Life Insurance Industry Overview of evolving industry trends and examples of how life insurers in Canada are innovating. Innovation;Strategy;Underwriting;Product ...

    View Description

    • Authors: Melissa Carruthers
    • Date: Sep 2017
    • Competency: External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Management partnership; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: International News
    • Topics: Life Insurance>Pricing - Life Insurance; Technology & Applications>Analytics and informatics; Technology & Applications>Data warehousing; Technology & Applications>Social media; Health & Disability>Electronic medical record
  • Behind Clinical Integration
    Behind Clinical Integration Recent health care reform activity has highlighted the importance of Clinical Integration in improving the quality, safety, efficiency and reimbursement infrastructure ...

    View Description

    • Authors: Steven Tutewohl
    • Date: May 2010
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Effective decision-making
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health information technology; Public Policy; Technology & Applications>Data warehousing; Health & Disability>Electronic medical record
  • Yi-Ling Lin: SOA Predictive Analytics Program Prepares You for Health Care’s Future
    Yi-Ling Lin: SOA Predictive Analytics Program Prepares You for Health Care’s Future Yi-Ling Lin, FSA, MAAA, FCA, started the SOA’s Predictive Analytics Certificate Program to keep pace with the ...

    View Description

    • Authors: Society of Actuaries
    • Date: Nov 2019
    • Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques; Predictive Analytics>Programming languages & tools; Health & Disability>Electronic medical record
  • The Opportunities During Transformation: Moving To Health Care 2.0
    The Opportunities During Transformation: Moving To Health Care 2.0 Essay reforming management in health care, structure of reimbursement, program management, health information, measurement ...

    View Description

    • Authors: Greger J Vigen
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance
    • Topics: Enterprise Risk Management>Compliance; Health & Disability>Health care; Health & Disability>Health information technology; Public Policy; Social Insurance>Medicare; Health & Disability>Electronic medical record
  • Responsible Health Care Reform Part 3: Cost Control And Efficiency
    Responsible Health Care Reform Part 3: Cost Control And Efficiency This article discusses what actuaries see as ideal components of a health care reform package with an emphasis on cost control, ...

    View Description

    • Authors: Lawrence McCarthy, David M Tuomala
    • Date: Jun 2010
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: The Actuary Magazine
    • Topics: Public Policy; Public Policy; Health & Disability>Electronic medical record