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  • Seasonal Flu Impacts: Flu Science Meets Actuarial Science

    Seasonal Flu Impacts: Flu Science Meets Actuarial Science Influenza overview (virus types, health impacts, vaccination process/efficacy) and how actuaries can incorporate basic flu knowledge into ...

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    • Authors: Bethany McAleer
    • Date: Oct 2018
    • Competency: 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 care
  • The Art and Science Of Pricing SmallGroup Medical Coverage

    The Art and Science Of Pricing SmallGroup Medical Coverage This article examines two general approaches to pricing The Forecast Approach and the Rebuilding Approach. The author then supplies the ...

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    • Authors: William Lane
    • Date: Mar 2005
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance
  • Health Section Issues New IBNR Study

    Health Section Issues New IBNR Study Summary of the health section council’s research project to assess the accuracy of commonly used IBNR estimation methods over a wide range of scenarios.

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    • Authors: Steven Siegel, Cabe Chadick
    • Date: Feb 2010
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Assess decision effectiveness; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Standards of practice; Financial Reporting & Accounting; Health & Disability>Health care; Modeling & Statistical Methods>Modeling efficiency
  • Modeling the Cost of Medical Care for the Elderly

    Modeling the Cost of Medical Care for the Elderly An excerpt from a presentation at the 2014 Living to 100 Symposium, this article describes an open-source model for use by actuaries attempting ...

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    • Authors: Thomas Getzen
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Long-term Care>Medical expenses; Modeling & Statistical Methods>Estimation methods
  • HCFA & Medicare + Choice: Contract Year 2001 Changes

    HCFA & Medicare + Choice: Contract Year 2001 Changes Outline of changes to the Adjust Community Rate ACR Proposal process and Beneficary Information Form, Issue No. 38 Managed ...

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    • Authors: Anant Galande
    • Date: Aug 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicare
  • Insurers Giving Away The Store With AggregatingSpecific Pricing

    Insurers Giving Away The Store With AggregatingSpecific Pricing Adding aggregating specific provisions to individual stop loss contracts reduces premium outlay but often priced incorectly by ...

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    • Authors: Gregory J Sullivan, Matthew Condos
    • Date: Jun 2002
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Reinsurance>Stop-loss insurance
  • Research Paper Review: “Measuring Consumer Valuation of Limited Provider Networks”

    Research Paper Review: “Measuring Consumer Valuation of Limited Provider Networks” The Behavioral Finance subgroup of the Health Section will be publishing a series of literature reviews in ...

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    • Authors: Brian Plaskow, John Kinney, Sarah Hoover
    • Date: May 2016
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Economics>Behavioral economics; Health & Disability>Health insurance
  • Calculation of IBNR Reserves with Low Variance

    Calculation of IBNR Reserves with Low Variance Calculation of IBNR Reserves compares IBNP lag method to Incurred Claims PMPM method which produces lower Variance. Issue No. 46. Health reserves; ...

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    • Authors: Robert Lynch
    • Date: Aug 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability
  • What’s New on the RxManagement Horizon?

    What’s New on the RxManagement Horizon? Health Section News, August 2005, Issue 50 which discusses the effective management of prescription drug utilization and coverage that continue to ...

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    • Authors: JEFF ALLAN SCHULTE
    • Date: Aug 2005
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care
  • APCs - They’ll Change OutpatientHospital Contracting

    APCs - They’ll Change OutpatientHospital Contracting Discussion of Medicare's Ambulatory Payment Classification APC system as the standard for reimbursement of non-capitated outpatient ...

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    • Authors: Patrick J Dunks, Nickolas Ortner
    • Date: Apr 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicare