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Forum: Group & Health Specialty Exam 07-13-2018, 11:24 AM
Replies: 327
Views: 22,291
Posted By Byram
Yeah, transcripts are Monday. Don't remember when...

Yeah, transcripts are Monday. Don't remember when names or statistics come out though.
Forum: Decision Making and Communications 04-29-2018, 02:54 PM
Replies: 2,540
Views: 719,739
Posted By Byram
This is right. If you submit by May...

This is right.



If you submit by May 7th, you will definitely be eligible for August FAC (assuming you pass).

If you submit May 8th, there's a chance you still make it to the August one, but...
Forum: Group & Health Specialty Exam 01-24-2018, 12:00 PM
Replies: 327
Views: 22,291
Posted By Byram
TIA for me as well, started last week. I'm...

TIA for me as well, started last week.

I'm not very far in, but I feel like the flashcard set from TIA for this exam is maybe a little short? I'm considering picking up the MATE cards just so it...
Forum: Group & Health Advanced Exam 01-12-2018, 10:42 AM
Replies: 112
Views: 11,596
Posted By Byram
Finally passed this thing - used TIA. The...

Finally passed this thing - used TIA.

The game-changer was finally figuring out a good way to learn/memorize note cards, which I was just flopping around on in previous sittings.
Forum: Health - Disability 12-05-2017, 03:32 PM
Replies: 7
Views: 1,340
Posted By Byram
I think it was the general "bargaining power of a...

I think it was the general "bargaining power of a single payer" if I remember right. He had much more of an axe to grind about drugs than doctors and facilities, but I think he also didn't linger...
Forum: Health - Disability 12-04-2017, 01:46 PM
Replies: 39
Views: 5,551
Posted By Byram
How many carriers use Optum as a PBM besides UHC?...

How many carriers use Optum as a PBM besides UHC? Real question, I have no idea.
Forum: Health - Disability 12-02-2017, 10:49 PM
Replies: 7
Views: 1,340
Posted By Byram
Didn't he? He had a slide in Canada vs US prices...

Didn't he? He had a slide in Canada vs US prices on selected procedures, which included some drugs. I specifically remember him saying that drug prices were out of control during that.
Forum: Group & Health Advanced Exam 11-07-2017, 10:05 AM
Replies: 112
Views: 11,596
Posted By Byram
My guess is Jan 12th for candidate numbers, Jan...

My guess is Jan 12th for candidate numbers, Jan 15th for transcript updates.
Forum: Group & Health Advanced Exam 11-05-2017, 12:28 AM
Replies: 112
Views: 11,596
Posted By Byram
Like some others, I got a shared loss for the ACO...

Like some others, I got a shared loss for the ACO (I also assumed the 10k was MM, not avg members). For the baseline, I normalized the risk to the 2016 level, which I think was 0.95. For the 2017...
Forum: Group & Health Advanced Exam 11-03-2017, 11:04 AM
Replies: 112
Views: 11,596
Posted By Byram
Man, this one really screwed with me. I was...

Man, this one really screwed with me. I was getting prospective and retrospective amounts that were different every time I tried. Was that the intention?
Forum: Group & Health Advanced Exam 11-03-2017, 10:29 AM
Replies: 112
Views: 11,596
Posted By Byram
I definitely can't know for sure if I did it...

I definitely can't know for sure if I did it correctly either, but it seemed to me like you really only needed to calculate 6 factors if I'm remembering that right. Lag 4, 5, and 6 for July-15 and...
Forum: Group & Health Advanced Exam 11-03-2017, 08:32 AM
Replies: 112
Views: 11,596
Posted By Byram
Wasn't the Dec-16 paid amount for Dec-15 just 0?...

Wasn't the Dec-16 paid amount for Dec-15 just 0? Meaning it was complete after 12 months?
Forum: Group & Health Advanced Exam 11-03-2017, 02:23 AM
Replies: 112
Views: 11,596
Posted By Byram
Ow, my wrist I think the scariest part of...

Ow, my wrist

I think the scariest part of the exam was when I saw two digits of my candidate number mixed up on one of the answer sheets.
Forum: Group & Health Advanced Exam 11-01-2017, 09:15 PM
Replies: 90
Views: 10,327
Posted By Byram
Does anyone know if there's a rhyme or reason to...

Does anyone know if there's a rhyme or reason to which half of the exam uses the case study? It seems like the last two sitting, the afternoon used it, but Spring 2016 had it in the morning. Just...
Forum: Group & Health Advanced Exam 10-31-2017, 10:34 PM
Replies: 90
Views: 10,327
Posted By Byram
Just to add onto the pile here, I also came up...

Just to add onto the pile here, I also came up with 1037.5 as the answer. A friend also told me that this question was covered at the Condie seminar, where the SOA solution was also deemed incorrect.
Forum: Group & Health Advanced Exam 10-28-2017, 09:09 PM
Replies: 90
Views: 10,327
Posted By Byram
According to the syllabus changes I found here...

According to the syllabus changes I found here (http://www.mateseminars.com/advanced-syllabus-changes/), it appears the 3 R's readings were removed after the Fall 2016 exam. So I don't think they can...
Forum: Group & Health Advanced Exam 10-27-2017, 04:33 PM
Replies: 90
Views: 10,327
Posted By Byram
I agree the wording was confusing on that one....

I agree the wording was confusing on that one. I'm pretty confident that the member is on the hook for the remainder though, i.e., reference pricing is essentially agreed-upon balance billing.

I...
Forum: Group & Health Advanced Exam 10-27-2017, 02:01 PM
Replies: 90
Views: 10,327
Posted By Byram
That is exactly what I thought Reference Pricing...

That is exactly what I thought Reference Pricing was. Is there a difference? I tried just searching google for results - I know it's not the syllabus, but the results show "reference" and...
Forum: Health - Disability 10-26-2017, 07:15 PM
Replies: 39
Views: 5,551
Posted By Byram
Certainly not, and I won't pretend that that's...

Certainly not, and I won't pretend that that's any kind of starting point to an M&A offer (your point on Tesla is well taken). I just wanted to dispel the idea that CVS is just a brick-and-mortar...
Forum: Health - Disability 10-26-2017, 06:36 PM
Replies: 39
Views: 5,551
Posted By Byram
I think I'm just as surprised about this rumor as...

I think I'm just as surprised about this rumor as the next guy/girl, but just for some context:

CVS is the 7th largest US company by revenue. In fact, the retail and PBM segments each had more...
Forum: Group & Health Advanced Exam 10-23-2017, 07:19 PM
Replies: 90
Views: 10,327
Posted By Byram
If I'm interpreting the outline correctly, it...

If I'm interpreting the outline correctly, it also seems like the EHM value chain would be more aptly named "EMH value cycle" - it seems to give an outline of how you get from program outreach all...
Forum: Group & Health Advanced Exam 10-21-2017, 01:02 PM
Replies: 90
Views: 10,327
Posted By Byram
My mistake if that's the case - I actually don't...

My mistake if that's the case - I actually don't have the source material. My experience is just from looking at TIA, where it's listed in the Chapter 10 material as a single bullet point, nothing...
Forum: Group & Health Advanced Exam 10-20-2017, 07:47 PM
Replies: 90
Views: 10,327
Posted By Byram
Just to add on to what ActuarialMike said, the...

Just to add on to what ActuarialMike said, the only mention I've found of propensity scores is from Duncan Chpt 10, where it is listed under "Statistical Methods". TIA says it's just another name for...
Forum: Group & Health Advanced Exam 10-14-2017, 07:09 PM
Replies: 90
Views: 10,327
Posted By Byram
Can anyone confirm that PCMHs (patient centered...

Can anyone confirm that PCMHs (patient centered medical homes) are intended only for patients with "complex needs"? The TIA outline only mentions this term once when talking about PCMH, so I can't...
Forum: Group & Health Advanced Exam 10-14-2017, 07:01 PM
Replies: 8
Views: 1,176
Posted By Byram
Not that I plan to still be working on Adv by the...

Not that I plan to still be working on Adv by the time this change comes into effect, but what's the plan for potential TIA subscribers who will face having to take separate halves of 2 exams? Will...
Showing results 1 to 25 of 225

 

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