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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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Using Python to Solve, Simplify, Differentiate and Integrate
Using Python to Solve, Simplify, Differentiate and Integrate This article introduces SymPy, a computer algebra system (CAS) for the Python programming language. Computer science;Predictive ...- Authors: Jeff T Heaton
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Predictive Analytics and Futurism Newsletter
- Topics: Technology & Applications>Analytics and informatics
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Modeling Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance
Modeling Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance A new health insurance pricing model takes external market prices into account, as well as ...- Authors: D Wei
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health risks; Modeling & Statistical Methods; Technology & Applications>Analytics and informatics
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Measuring Subsidization in LTC
Measuring Subsidization in LTC Although rate structures where low-cost cohorts subsidize high cost cohorts may be justified from a actuarial, marketing, or legal standpoint, the subsidization ...- Authors: Roger Loomis
- Date: May 2009
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Long-Term Care News
- Topics: Actuarial Profession>Best practices; Enterprise Risk Management>Risk measurement - ERM; Modeling & Statistical Methods>Sensitivity testing; Technology & Applications>Analytics and informatics
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Lessons Learned by a Life Actuary Who Wandered Away and Came Back Again
Lessons Learned by a Life Actuary Who Wandered Away and Came Back Again The guest editorial details some valuable lessons during the author’s career as an employee benefits (mostly retirement) ...- Authors: Christine Hofbeck
- Date: Apr 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Entrepreneurism; Technology & Applications>Analytics and informatics
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Predictive Analytics: ‘You’ve got to dig it, to dig it.’
Predictive Analytics: ‘You’ve got to dig it, to dig it.’ In order to better develop skill in predictive analytics, the author suggests looking to professionals who design innovative predictive ...- Authors: Michael Muhanna
- Date: Nov 2013
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership
- Publication Name: Actuary of the Future
- Topics: Actuarial Profession>Best practices; Technology & Applications>Analytics and informatics
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Saving the World
Saving the World The article provides several examples of projects led by actuaries who are applying advanced data analytics and big data to solve industry-specific business problems. 6442463923 ...- Authors: Chris E Stehno
- Date: Oct 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: The Actuary Magazine
- Topics: Life Insurance>Underwriting - Life Insurance; Technology & Applications>Analytics and informatics
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Building Actuarial Cost Models From Health Care Claims Data
Building Actuarial Cost Models From Health Care Claims Data Using Healthcare Claims Data to Create Actuarial Models. Business intelligence;Data mining=Big data;Managed care 6442476744 6/1/2017 12 ...- Authors: William Bednar
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Technology & Applications>Analytics and informatics; Technology & Applications>Business intelligence
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Chairperson's Corner: FSA=mc2?
Chairperson's Corner: FSA=mc2? The author recounts his experience as a keynote speaker at the Actuarial Research Conference and provides advice to young actuaries to present complex subjects ...- Authors: David Snell
- Date: Nov 2012
- Competency: Communication>Oral communication; External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Actuary of the Future
- Topics: Actuarial Profession>Academic partnerships; Actuarial Profession>Professional development; Technology & Applications>Analytics and informatics
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Health Risk Assessments in a Protected Environment
Health Risk Assessments in a Protected Environment A discussion of permissible use and collection of genetic information for Health Risk Assessments and wellness programs under the Genetic ...- Authors: John C Cameron
- Date: May 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Ethical standards
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Public Policy; Technology & Applications>Analytics and informatics