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Trends in Large Health Claims
Trends in Large Health Claims Panel discusses trends in large health claims, recent experience, and future expectations, as well as the impact of managed care on large individual health claims ...- Authors: David E Olsho, Anthony Wittmann, Daniel Wolak, Larry Jackson
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks
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A Comparative Analysis of Methods of Health Risk Assessment, Chapter 2: Background
A Comparative Analysis of Methods of Health Risk Assessment, Chapter 2: Background Chapter 2 reviews previous research in the area of health risk assessment. From A Comparative Analysis of ...- Authors: John Bertko, Alice Rosenblatt, Thomas J Stoiber, Peter Braun, Daniel Dunn, Eric Alexander Latimer, Deborah A Taira, Susan Busch
- Date: Oct 1996
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Health & Disability>Health risks
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Abstract: Analysis of Costs for a Chronic Disease with Acute High Cost Episodes
Abstract: Analysis of Costs for a Chronic Disease with Acute High Cost Episodes This is an abstract for the paper, Analysis of Costs for a Chronic Disease with Acute High Cost Episodes by ...- Authors: Marjorie Rosenberg, Philip M Farrell
- Date: Jun 2005
- Competency: Technical Skills & Analytical Problem Solving; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health risks; Modeling & Statistical Methods>Bayesian methods
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Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews Identifying and submitting all appropriate ICD-9 diagnosis codes to CMS will result in a higher risk score for the ...- Authors: Corey Berger, Eric P Goetsch
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
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Ascertainment Bias in Estimating Rates of Onset of Early-Onset Alzheimer's Disease: A Critical Illness Insurance Application
Ascertainment Bias in Estimating Rates of Onset of Early-Onset Alzheimer's Disease: A Critical Illness Insurance Application Presentation on estimating rates of early-onset ...- Authors: Carolina Espinosa Castaneda
- Date: Jan 2007
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks
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A Serious Question
A Serious Question The author discusses the Genetic Information Nondiscrimination Act of 2008 GINA and its ultimate effect on the long-term care industry in general, and on current and future ...- Authors: Bruce Stahl
- Date: May 2011
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Influence
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Long-term Care
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Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does It?
Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does It? Article describes enhanced primary care models and provides citations on whether or not ...- Authors: Tia Sawhney, Bruce Pyenson
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Health & Disability>Payment models
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Section 1332 Waivers: Coming Soon to a State Near You?
Section 1332 Waivers: Coming Soon to a State Near You? This article discusses new opportunities for states to waive certain marketplace requirements of the Patient Protection and Affordable Care ...- Authors: Gregory Fann
- Date: May 2016
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy
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Why so Many People Have Untreated Mental Health Conditions
Why so Many People Have Untreated Mental Health Conditions The article reviews high-deductible health plans and poor reimbursement for mental health providers as being the root of 3 devastating ...- Authors: Dawn Motovidlak
- Date: Jun 2018
- Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models
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2023-ltc-medicare-advantage-overview
In this video Mitchell Momanyi, FSA MAAA presents an informative breakdown of Medicare Advantage plans, delving into the intricacies of this alternative to traditional Medicare. Covering the ...- Authors: Society of Actuaries
- Date: Nov 2023
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Health & Disability>Provider networks