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Forum: Health - Disability 05-14-2019, 10:39 AM
Replies: 98
Views: 7,324
Posted By Actuarialsuck
100% agree. When I looked at this (a while ago),...

100% agree. When I looked at this (a while ago), 100% of MCR was equal to roughly 18% - 20% of billed charges. I realize this varies a LOT by hospital, area, etc. but taking a step back, that means...
Forum: Probability 05-07-2019, 11:24 AM
Replies: 10
Views: 339
Posted By Actuarialsuck
Are you asking for something like this?...

Are you asking for something like this? https://www.quora.com/What-are-examples-of-exponentially-distributed-random-variables-in-real-life
Forum: Health - Disability 05-05-2019, 06:18 PM
Replies: 98
Views: 7,324
Posted By Actuarialsuck
DRG is for Inpatient Acute stays, there are...

DRG is for Inpatient Acute stays, there are various payment methodologies for non-acute, outpatient, physician.
Forum: Health - Disability 05-02-2019, 06:11 PM
Replies: 98
Views: 7,324
Posted By Actuarialsuck
Not to mention offer reduction in A/B cost...

Not to mention offer reduction in A/B cost sharing + offer benefits that are "non-Medicare covered" for $0 (in most areas).

Only downside is network restriction and potentially having to choose a...
Forum: Group & Health Specialty Exam 04-26-2019, 12:15 AM
Replies: 6
Views: 301
Posted By Actuarialsuck
Cost of Capital = PV future tied capital releases...

Cost of Capital = PV future tied capital releases minus increases + PV after-tax investment income on tied capital - tied capital.

Why would you subtract it from from EV?
Forum: Health - Disability 04-25-2019, 02:17 PM
Replies: 11
Views: 600
Posted By Actuarialsuck
Should be there as well.

Should be there as well.
Forum: Group & Health Core Exam 04-11-2019, 11:08 PM
Replies: 3
Views: 882
Posted By Actuarialsuck
I would be careful looking at straight % of BC...

I would be careful looking at straight % of BC differentials since there's a difference in levels of chargemaster, etc. implicit in each hospital. Looking at % of MCR seems to be more stable but of...
Forum: Group & Health Core Exam 03-15-2019, 08:52 PM
Replies: 5
Views: 446
Posted By Actuarialsuck
Is this a question you can post?

Is this a question you can post?
Forum: Group & Health Core Exam 02-28-2019, 11:55 AM
Replies: 3
Views: 314
Posted By Actuarialsuck
Isn't that part of the case study exhibit 5?

Isn't that part of the case study exhibit 5?
Forum: Health - Disability 02-27-2019, 01:25 PM
Replies: 10
Views: 1,018
Posted By Actuarialsuck
I think it also depends on how your contracts are...

I think it also depends on how your contracts are set up. For example smaller hospitals are probably going to be reimbursed on a % of Billed Charges, not a lot of review / manual adjudication needs...
Forum: Non-Actuarial Topics 02-15-2019, 02:42 PM
Replies: 39
Views: 1,177
Posted By Actuarialsuck
Feels like an Arby's night...

Feels like an Arby's night...
Forum: Investment / Financial Markets 01-27-2019, 03:04 PM
Replies: 3
Views: 805
Posted By Actuarialsuck
I didn't read any of that but.... what about the...

I didn't read any of that but.... what about the choices I and III only or II and III only?
Forum: Non-Actuarial Topics 11-17-2018, 11:52 AM
Replies: 6
Views: 245
Posted By Actuarialsuck
Calc. 2? Latitude wrote his thesis on Tromey...

Calc. 2? Latitude wrote his thesis on Tromey integers...
Forum: Non-Actuarial Topics 11-16-2018, 11:41 AM
Replies: 11,827
Views: 1,597,089
Posted By Actuarialsuck
39600

39600
Forum: Group & Health Specialty Exam 10-06-2018, 07:19 PM
Replies: 5
Views: 648
Posted By Actuarialsuck
Not sure if it's the same syllabus but looking at...

Not sure if it's the same syllabus but looking at my notes from a few years this was from Disability Income Insurance: The Unique Risk, chapters 18 (sorry for lack of spacing, it looks much better in...
Forum: Group & Health Core Exam 10-02-2018, 12:18 AM
Replies: 4
Views: 674
Posted By Actuarialsuck
I'll defer 2) to someone who knows more about...

I'll defer 2) to someone who knows more about employer group. As far as 3) goes, yes each bid is a filed benefit in a particular service area. Everyone that selects that bid will pay the same amount...
Forum: Group & Health Core Exam 10-01-2018, 07:15 PM
Replies: 4
Views: 674
Posted By Actuarialsuck
1) Not sure what you mean by an "S SNP" I've...

1) Not sure what you mean by an "S SNP" I've heard of C-SNPs, I-SNPs, D-SNPs but never S-SNP but yes any plan you put out there has to be at least as rich as traditional MCR.

2) By 800 series do...
Forum: Pricing, Reserving & Forecasting 08-09-2018, 04:56 PM
Replies: 2
Views: 588
Posted By Actuarialsuck
Don't you get to see the solutions once you...

Don't you get to see the solutions once you submit the module?
Forum: Group & Health Advanced Exam 08-08-2018, 09:00 PM
Replies: 235
Views: 29,723
Posted By Actuarialsuck
Well you can figure that out as well. You know...

Well you can figure that out as well. You know your y_i (these are just 5, 20, 365, etc.). Your \bar{y} is just the average of your y_i or \frac{875}{7} . Subtract that average from each of...
Forum: Group & Health Advanced Exam 08-08-2018, 06:44 PM
Replies: 235
Views: 29,723
Posted By Actuarialsuck
The denominator is \sum_{i=1}^{n} \, \left(y_i...

The denominator is \sum_{i=1}^{n} \, \left(y_i \, - \, \bar{y} \right)^2 is that what you're asking about?
Forum: Health - Disability 06-01-2018, 01:58 PM
Replies: 2
Views: 1,281
Posted By Actuarialsuck
Yeah you want to get a pricer. Even on the...

Yeah you want to get a pricer. Even on the Inpatient side where it's DRG based it can get tricky given short length stays, outlier stays, etc.

Outpatient is even worse because of the mess that's...
Forum: Non-Actuarial Topics 05-30-2018, 11:31 PM
Replies: 18
Views: 782
Posted By Actuarialsuck
Yeah but it's bound to be right at least some of...

Yeah but it's bound to be right at least some of the times...
Forum: General 05-27-2018, 02:02 AM
Replies: 16
Views: 3,323
Posted By Actuarialsuck
http://www.actuarialoutpost.com/actuarial_discussi...

http://www.actuarialoutpost.com/actuarial_discussion_forum/forumdisplay.php?f=19 and the wonderful "search" feature.
Forum: Health - Disability 05-16-2018, 11:55 PM
Replies: 3
Views: 1,225
Posted By Actuarialsuck
Just googled and found this...

Just googled and found this https://www.insurance.wa.gov/long-term-care-actuarial-memo-requirements

There's a number at the bottom if that helps?
Forum: Non-Actuarial Topics 05-15-2018, 11:36 PM
Replies: 11,827
Views: 1,597,089
Posted By Actuarialsuck
https://www.snopes.com/fact-check/lottery-winner-a...

https://www.snopes.com/fact-check/lottery-winner-arrested-dumping-200000-manure-lawn-former-boss/

But would be funny if it was real :)
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