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  • Validating a Novel Health Insurance Fraud Detection Method

    Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for ...

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    • Authors: Robert D Lieberthal, Elias
    • Date: Aug 2018
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; 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: Risk Management
    • Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics

  • Seeing The Big Picture: ERM In The Health Care Industry

    Seeing The Big Picture: ERM In The Health Care Industry Article discussing the use of enterprise risk management in the health care industry. Seeing The Big Picture ERM In The Health Care Industry ...

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    • Authors: Robert F Wolf
    • Date: Apr 2009
    • Competency: External Forces & Industry Knowledge
    • Publication Name: The Actuary Magazine
    • Topics: Enterprise Risk Management; Health & Disability>Health care

  • Visions for the Future of the U.S. Health Care System - Introduction

    Visions for the Future of the U.S. Health Care System - Introduction A call for essays issued by the SOA Health and Long Term Care Sections on the visions for the future of the U.S. health care ...

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    • Authors: Society of Actuaries
    • Date: Jun 2009
    • Competency: Leadership>Thought leadership
    • Topics: Enterprise Risk Management; Health & Disability>Health care

  • Education and Research Section Sessions at the Spring Health

    Education and Research Section Sessions at the Spring Health By Ian Duncan Ian Duncan recaps the Education and Research (E&R) Section sponsored sessions and breakfast at the 2016 SOA ...
    • Authors: Ian G Duncan
    • Date: Oct 2016
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Expanding Horizons
    • Topics: Actuarial Profession>Professional development; Actuarial Profession>Qualifications; Enterprise Risk Management; Health & Disability>Health care; Social Insurance
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