Description: Discussion of the standards set by ASOP 23 on data quality within a health insurance context.

Description: Discussion and Opinion on how randomness affects measurement of provider contracting risk-sharing agreements

Description: This article takes a closer look at Medicare Part D Coverage and the types of payment demonstration payment of the federal reinsurance amountFlexible Capitation, Fixed Capitation, MA Rebate. Issue No 60

Description: This article discusses the positive aspects of E-prescribing, a transaction in which a physician transmits a prescription directly to a pharmacy through an electronic device. Issue No. 60

Description: This article provides a basic overview of how Health Section research is initiated and conducted including the roles different parties play. Issue No 60

Description: Methods and assumptions used in the valuation of savings by external care vendors

Description: Update on Affordable Care Act topics, including Section 1332 waivers, Association Health Plans, silver loading and cost sharing reductions.

Description: The CMS Risk adjustment model allows actuaries to apply our analytical skills and business knowledge to solve risk and revenue challenges within Health Plans.

Description: Regression to the mean is a phenomenon that arises when comparing sequential data points. It states that when an initial observation is extreme or an outlier, future observations will be closer to the average. Health care actuaries need to understand and be able to mitigate the effects of regression to the mean to avoid misapplying predictive models or misstating measurements of historical effects.

Description: sources of Health Care data Issue No. 37.