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  • Better Care Through Understanding the Customer Not Just the Patient

    As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical data. That information is captured while patients are in health care facilities. Yet ...

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    • Authors: James Dolstad, Craig Cartossa, Justin Hartmann
    • Date: Dec 2021
    • Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
  • Provider Networks – Actuarial Perspective on Performance In and Out of Exchanges

    Provider Networks – Actuarial Perspective on Performance In and Out of Exchanges A research report describing aspects of provider network performance in health care settings with particular focus ...

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    • Authors: Society of Actuaries
    • Date: Mar 2018
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health insurance