Casact.org

An Introduction to Capitation and Health Care Provider Excess …

WEBThe distinction between health and casualty insurance is blurring (e.g. 24 hour coverage) Managed care affects exposure to loss in casualty coverages such as hospital and …

Actived: 8 days ago

URL: https://www.casact.org/sites/default/files/2021-02/pubs_dpp_dpp97_97dpp097.pdf

An Actuary and an Epidemiologist Walk into a Bar

WEBAn Actuary and an Epidemiologist Walk into a Bar. Posted on December 9, 2021 by Multiple Authors. Actuaries and epidemiologists share a lot in common. Both …

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CS12: Healthcare Reserving, Including COVID-19 Considerations

WEBMost common method used at health plans for estimating Unpaid Claim Liabilities. • Relies on historical claims data organized into “triangles” by paid date and incurred date. • …

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An Expanding Line of Business for Casualty Actuaries to Tackle

WEBWith the CAS at 10,000 members today, and growing at 5% a year, are there still untapped opportunities? There is potential for a major expansion of a relatively small …

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C-5: Current Issues and Trends in Medical Malpractice Liability …

WEBOver 1 million procedures in 2018 worldwide. Nearly all urology and gynecology residency programs in the U.S. have a da Vinci System. Procedures Offered: Cardiac (Mitral valve …

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Types of Health Care Risk

WEBWeiner J P et al. Health Affairs 2012;31:306-315 ©2012 by Project HOPE -The People to People Health Foundation, Inc. ACA Risk Management Tools 21 All health insurers and …

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DETERMINING ULTIMATE CLAIM LIABILITIES FOR HEALTH …

WEB200. DETERMINING ULTIMATE CLAIM LIABILITIES FOR HEALTH INSURANCE COVERAGES. EMIL J. STRUG I. INTRODUCTION. The purpose of this paper is to add …

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POSITION DESCRIPTION FOR CHAIRPERSON OF THE …

WEB“The Committee on Health Care Issues is focused on topics of importance to casualty actuaries who practice in areas impacted by health care costs. The Committee’s charge …

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The Actuarial Basis for Premiums and Reserves in Personal …

WEBThe "Report of the Committee of Five on Statistics to the Bureau of Personal Accident and Health Underwriters," dated November 15, 1929, shows the combined health …

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A Practitioner's Guide to Generalized Linear Models

WEBThe failings of one-way analysis . 1.6. In the past, actuaries have relied heavily on one-way analyses for pricing and monitoring performance. 1.7 A one-way analysis summarizes …

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Integration of Managed Care in Workers Compensation

WEBThus, a health care provider will agree to a discount from standard rates if injured workers are treated by a member of the health care provider’s network. The pre-negotiated …

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Premiums and Reserves for Non-Cancellable Accident and …

WEBOne-Year-Term premiums have been calculated from Table III by the above formula forages 20,30, 40, 50, 60 and 65 for policies. ACCIDENT AND HEALTH POLICIES. …

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Machine Learning in Insurance

WEBBolstered by improvements in computing power and innovations in key algorithms, machine learning (ML) has been experiencing tremendous growth and expansion in many fields …

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ACCIDENT AND I~EALTH INSURANCE FROM A2q ~ …

WEB49 ACCIDENT AND I~EALTH INSURANCE FROM A2q ~_CTUARIAT, VIEWPOINT. B~. WALTER I. K]'~G. Certain losses, the incident of which are unforeseen, do or may, …

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CATASTROPHE MODELING OVERVIEW

WEBWorld's leading provider of products/services for the quantification and management of Cat risks. Grew in the 1990s, expanding services and perils covered. Current version: …

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Basics of Reinsurance Pricing

WEBIntroduction. Like primary insurance, reinsurance is a mechanism for spreading risk. A reinsurer takes some portion of the risk assumed by the primary insurer (or other …

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On Predictive Modeling for Claim Severity

WEBThe lognormal models got 95.33% of the posterior probability, the gamma models got 2.98% of the posterior probability and the normal models got the remaining 1.69%. Here …

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Pet insurance: market activity, trends and key issues

WEBWellness — some insurers offer wellness coverage and some don’t. Coinsurance — 90% is the most common but can typically range from 50% to 90%. Deductible — $250 is the …

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ACTUARIAL BASIS FOR PREMIUMS AND RESERVES

WEB66 THEACTUARIAL BASIS FOR PREMIUMS AND RESERVES. Ifk = o,the formulae reduce to those already established for benefits with no exclusion period. Thus, for a …

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Understanding the Actuarial Report on Reserves

WEBSources of Data. Schedule P – Insurance company statutory financial statements contain a schedule showing 10 years of losses, LAE, S&S, and claim counts (primary only). Claim …

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