Managing And Evaluating Healthcare Intervention Programs
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Managing and Evaluating Healthcare Intervention Programs
Author: Ian Duncan, FSA, FIA, FCIA, MAAA
language: en
Publisher: ACTEX Publications
Release Date: 2014-01-20
Since its publication in 2008, Managing and Evaluating Healthcare Intervention Programs has become the premier textbook for actuaries and other healthcare professionals interested in the financial performance of healthcare interventions. The second edition updates the prior text with discussion of new programs and outcomes such as ACOs, Bundled Payments and Medication Management, together with new chapters that include Opportunity Analysis, Clinical Foundations, Measurement of Clinical Quality, and use of Propensity Matching.
Healthcare Risk Adjustment and Predictive Modeling
This text is listed on the Course of Reading for SOA Fellowship study in the Group & Health specialty track. Healthcare Risk Adjustment and Predictive Modeling provides a comprehensive guide to healthcare actuaries and other professionals interested in healthcare data analytics, risk adjustment and predictive modeling. The book first introduces the topic with discussions of health risk, available data, clinical identification algorithms for diagnostic grouping and the use of grouper models. The second part of the book presents the concept of data mining and some of the common approaches used by modelers. The third and final section covers a number of predictive modeling and risk adjustment case-studies, with examples from Medicaid, Medicare, disability, depression diagnosis and provider reimbursement, as well as the use of predictive modeling and risk adjustment outside the U.S. For readers who wish to experiment with their own models, the book also provides access to a test dataset.
Living to 100 and Beyond
Designed to build upon recent Symposia on the same topic, Living to 100 and Beyond explores the research that has focused on increasing life expectancies and the lifestyles of longer lived individuals. It provides a basic understanding of the actuarial mathematics associated with life expectancies, their calculation and their projection. It also highlights the important issues facing society as populations age. The book also provides a discussion of a host of products targeted for the aged. It can thus serve as a reference source for anyone who is impacted by any aspect of this fascinating topic. It concludes with an extensive bibliography for those who would like additional information.