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  • Health Watch, March 2017, Issue 82

    Health Watch, March 2017, Issue 82 Read the March 2017 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.

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    • Authors: Society of Actuaries
    • Date: Mar 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: 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; Health & Disability>Public financing - Health & Disability

  • The Actuarial Role in Self-Insurance

    The Actuarial Role in Self-Insurance Description of and reasons for Health Section strategic initiative relating to self insurance Stop-loss insurance;Health risks;Group health plans;ERISA ...

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    • Authors: John Mange, Hobson Carroll
    • Date: Oct 2017
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional development; Health & Disability>Health risks

  • Health Watch, February 2018, Issue 85

    Health Watch, February 2018, Issue 85 Read the February 2018 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section ...

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    • Authors: Society of Actuaries
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: 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; Health & Disability>Public financing - Health & Disability

  • Group Medical Insurance Large Claims Database Collection and Analysis, Chapter 7: Analysis of Most Frequent Diagnoses and Analysis of Total Charges by Diagnosis Category, Age, and Gender

    Group Medical Insurance Large Claims Database Collection and Analysis, Chapter 7: Analysis of Most Frequent Diagnoses and Analysis of Total Charges by Diagnosis Category, Age, and Gender Chapter ...

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    • Authors: Society of Actuaries
    • Date: Aug 1997
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Experience Studies & Data; Health & Disability>Health risks; Reinsurance>Health reinsurance

  • Group Medical Insurance Large Claims Database Collection and Analysis, Chapter 1: History, Methodology, and Findings

    Group Medical Insurance Large Claims Database Collection and Analysis, Chapter 1: History, Methodology, and Findings Chapter 1 presents the background to the current study, followed by the ...

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    • Authors: Society of Actuaries
    • Date: Aug 1997
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Professional network leverage; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Actuarial Profession>Academic partnerships; Experience Studies & Data; Health & Disability>Health risks; Modeling & Statistical Methods; Reinsurance>Health reinsurance

  • Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements

    Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements This article will consider several issues arising from ACO budgeting and pricing of stoploss coverage, including: 1) ...

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    • Authors: Anthony Rubiano
    • Date: May 2012
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Health & Disability>Payment models; Public Policy

  • 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

  • The State of Predictive Analytics in U.S. Health care

    The State of Predictive Analytics in U.S. Health care Health care predictive analytics varies between payers and providers as well as being a powerful tool in business decision modeling. Data ...

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    • Authors: Marilyn Medved McGaffin
    • Date: Nov 2016
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Predictive Analytics

  • Prescription Drug Use in an Individual Exchange Population

    Prescription Drug Use in an Individual Exchange Population An analysis of prescription drug use in the Kansas individual market Health care costs;General insurance ;Health insurance;Health risks ...

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    • Authors: Rebecca Owen
    • Date: Apr 2016
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Health & Disability>Health risks

  • An Interview: Dr. Uwe Reinhardt

    An Interview: Dr. Uwe Reinhardt In this interview Dr. Reinhardt shares his thoughts on the role he believes actuaries should take in the health care system reforms. Assumptions;Episode-based ...

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    • Authors: Mary Kindel Van der Heijde, Douglas Norris
    • Date: Sep 2009
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Traditional careers; Enterprise Risk Management; Health & Disability>Health risks; Health & Disability>Payment models
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