Blog Accurately Pricing Health Plans with Claims Readjudication Health plan benefit designs are complex. Improve pricing accuracy of ACA health plans through data engineering and claims readjudication.
Blog How to Query Product Hunt GraphQL API with Python This is a short tutorial on how to use Python to get data from the Product Hunt GraphQL API.
Guide ISLR Chapter 10 - Unsupervised Learning Summary of Chapter 10 of ISLR. In unsupervised learning, we have features, but no response. The goal is not to predict anything. Instead, the goal is to discover subgroups and relationships.
Guide ISLR Chapter 9 - Support Vector Machines Summary of Chapter 9 of ISLR. Support vector machines are one of the best classifiers in the binary class setting.
Guide ISLR Chapter 8 - Tree-Based Methods Summary of Chapter 8 of ISLR. Simple tree-based methods are useful for interpretability. More advanced methods, such as random forests and boosting, greatly improve accuracy, but lose interpretability.
Guide ISLR Chapter 7 - Moving Beyond Linearity Summary of Chapter 7 of ISLR. We can move beyond linearity through methods such as polynomial regression, step functions, splines, local regression, and GAMs.
Guide ISLR Chapter 6 - Linear Model Selection & Regularization Summary of Chapter 6 of ISLR. There are alternative methods to plain least squares, which can result in models with greater accuracy and interpretability.
Guide ISLR Chapter 5 - Resampling Methods Summary of Chapter 5 of ISLR. Resampling methods allow us to choose a model that has the most predictive power.
Guide ISLR Chapter 4 - Classification Summary of Chapter 4 of ISLR. Classification involves predicting qualitative responses. Logistic regression, LDA, and KNN are the most common classifiers.
Guide ISLR Chapter 3 - Linear Regression Summary of Chapter 3 of ISLR. Simple and multiple linear regression are common and easy-to-use regression methods.
Guide ISLR Chapter 2 - What is Statistical Learning? Summary of Chapter 2 of ISLR. Statistical learning refers to a set of approaches for determining what our predictors tell us about our response.
Guide ISLR Chapter 1 - Introduction to Statistical Learning Summary of Chapter 1 of ISLR. Statistical learning simply refers to the broad set of tools that are available for understanding data.
Healthcare HMO vs PPO vs EPO vs POS - Health Plan Differences There are four major “types” of insurance plans: HMO, PPO, EPO, and POS. HMO and PPO are the most popular. EPO and POS are “hybrid” HMO/PPO plans.
Healthcare Self-Funded vs Fully-Funded Health Insurance Employers have the option of either self-funding or fully-funding the health insurance plan for their employees. What are the key differences?
Healthcare What is Medicaid? Key Points for Actuaries The Medicaid program provides either free or very low-cost health insurance to eligible poor individuals and families.
Healthcare What is Medicare? Key Points for Actuaries Medicare is a federal government health insurance program for elder people, and some disabled individuals.
Healthcare On-Exchange vs Off-Exchange Health Insurance Plans There are two ways to obtain an ACA-compliant health plan: on-exchange and off-exchange.
Healthcare What is the ACA Advance Premium Tax Credit (APTC) Subsidy? Advance Premium Tax Credits (APTC) are a component of the Affordable Care Act. APTCs make healthcare premiums more affordable for people with low incomes.
Healthcare What is the ACA Cost-Sharing Reduction (CSR) Subsidy? Cost-Sharing Reduction (CSR) is a component of the Affordable Care Act. CSR make healthcare costs more affordable for people with low incomes.
Healthcare What is the ACA? Key Points for Actuaries Actuaries working in the health insurance industry must be intimately familiar with the Affordable Care Act (ACA).
Healthcare Components of Rising Healthcare Cost Trend Many factors contribute to rising healthcare costs in the United States. Four of these main factors are utilization, prevalence, unit cost, and drug costs.
Healthcare Key Players in Health: Patients, Providers, Payers, Vendors There are four key players in the healthcare industry: patients, providers, payers, and vendors.
