In regions where Medicare patients see doctors more often or get more tests, one study found patients accumulate more diagnoses, even though the increased, accumulated diagnoses did not track with mortality rates, raising questions about the accuracy of a diagnosis -
based risk adjustment method.
Volatility
based risk adjustments are done based on daily volatility over the past 3 calendar months.
Not exact matches
There's quite a bit of research,
based on historical returns, that finds if you retire at age 65, you can withdraw 4 % a year (plus inflation
adjustments) from your nest egg with only a small
risk of outliving your money.
The inadequate level of «
risk adjustment» in the forecast seriously undermines the «credibility» of the latest fiscal update as a
basis for budget planning.
The inadequate level of «
risk adjustment» in the forecast seriously undermines the «credibility» of the latest fiscal update as a
basis for budget planning and the ability to claim a budgetary surplus over the medium term.
Management's determination of fair value is then
based on the best information available in the circumstances and may incorporate management's own assumptions and involves a significant degree of judgment, taking into consideration a combination of internal and external factors, including the appropriate
risk adjustments for non-performance and liquidity
risks.
If the Department of Finance feels that the range of views is too diverse and / or the
risks too great, it adds «
risk adjustments»,
based on its analysis.
More comfortable with an automated service that determines the investment mix and
adjustment schedule for you
based on your financial goals and tolerance for
risk?
To assess the robustness of the results of our regression analysis, we performed covariate
adjustment with derived propensity scores to calculate the absolute
risk difference (details are provided in the Supplementary Appendix, available with the full text of this article at NEJM.org).14, 15 To calculate the adjusted absolute
risk difference, we used predictive margins and G - computation (i.e., regression - model —
based outcome prediction in both exposure settings: planned in - hospital and planned out - of - hospital birth).16, 17 Finally, we conducted post hoc analyses to assess associations between planned out - of - hospital birth and outcomes (cesarean delivery and a composite of perinatal morbidity and mortality), which were stratified according to parity, maternal age, maternal education, and
risk level.
The researchers from the Dartmouth Atlas Project compared Medicare's current
risk -
adjustment methodology, which is
based on the diagnoses recorded in patients» claims records, against
adjustment indices
based on wealth and health.
Using a sub-set of prospective cohorts included in the Turati (2011) meta - analysis, Dong (2011) found that coffee drinking was inversely associated with pancreatic cancer
risk but did not separate studies
based on their
adjustment for smoking status.
It would appear that any
risk adjustments based on jogging - affected cofounders would reduce any hazard ratio benefit between the 40 km and 20 km runners by at most 6 %, and probably less.
To combat adverse selection, governments increasingly
base payments to health plans and providers on enrollees» scores from
risk -
adjustment formulae.
A loan - level pricing
adjustment (LLPA) is a
risk -
based fee assessed to mortgage borrowers using a conventional mortgage.
Risk -
based adjustments by Fannie and Freddie make the addition of mortgage insurance on top of that a deal - killer when FHA provides an alternative.
On the
basis of the Sharpe ratio, which is the simplest form of
risk adjustment, the fund underperformed the MSCI EAFE index in the three - and five - year periods but outperformed it over the ten - and fifteen - year periods through January 2014 (see figures from Morningstar).
More comfortable with an automated service that determines the investment mix and
adjustment schedule for you
based on your financial goals and tolerance for
risk?
Auto insurance quotes are
based on how much you are likely to cost your provider over the life of the policy; if you make
adjustments to your vehicle, your living situation, or your lifestyle that make you appear less of a
risk, your premiums can be reduced.
His point is that a TDF may invest its assets into index -
based securities that do not make tactical
adjustments as the markets change — but the act of managing even an index -
based portfolio according to a glide path that ramps down equity
risk over time will always be at least in part fundamentally «active.»
For those with conventional loans, FHA refinancing may be better than paying Fannie and Freddie's
risk -
based pricing
adjustments.
Yes, for non-FHA loans there may be
risk -
based pricing
adjustments if you have bad credit or a smaller down payment or need a cash - out refi.
This
adjustment is akin to reducing the size of the coupons in earlier years, and increasing the size of the coupons in later years, while adjusting for the time value of money
based on the
risk - free discount rates.
I consider my valuation multiple a reasonable compromise between higher sector multiples & the
risk of a devastating client loss... Plus it allows me to (fairly) comfortably apply a (positive) debt
adjustment:
Based on the company's 4.7 M of (annualized) adjusted operating profit (& zero debt), management could easily draw down 14.2 M of debt for expansion, acquisitions, etc. — as usual, I'll haircut this by 50 %.
Summary of how they got to this finding: They use CMIP models which, if not outright flawed, have not proved their validity in estimated temperature levels in the 2030 to 2070 timeframe, are used as the
basis for extrapolations that assert the creation of more and more 3 - sigma «extreme events» of hot weather; this is despite the statistical contradiction and weak support for predicting significant increases in outlier events
based on mean increases; then,
based on statistical correlations between mortality and extreme heat events (ie heat waves), temperature warming trends are conjured into an enlargement of the
risks from heat events;
risks increase significantly only by ignoring obvious
adjustments and mitigations any reasonable community or person would make to adapt to warmer weather.
Accounts are individually underwritten and may be subject to
risk -
based adjustment after review of the completed application form.
Auto insurance quotes are
based on how much you are likely to cost your provider over the life of the policy; if you make
adjustments to your vehicle, your living situation, or your lifestyle that make you appear less of a
risk, your premiums can be reduced.
Membership in a single - parent family or stepfamily is associated with increased levels of significant behavioral, emotional, and academic problems in children.1, 2 The mechanisms underlying this connection are likely to involve, among other factors, financial adversity, increased stress directly related to family transitions, and increased exposure to additional psychosocial
risks.3, 4 Compared with the extensive research
base connecting family type (ie, membership in a 2 - parent biological family, stepfamily, or single - parent family) and children's psychological
adjustment, little is known about the physical health consequences of membership in diverse family types.
The Cooperative Parenting and Divorce program is a video -
based, psychoeducational program designed to assist divorcing or divorced parents in reducing parental conflict and the
risk factors that influence the child's post-divorce
adjustment.
This work has recently been extended by the adoption of a public health model for the delivery of parenting support with parents of younger children.9, 11,40 Various epidemiological surveys show that most parents concerned about their children's behaviour or
adjustment do not receive professional assistance for these problems, and when they do, they typically consult family doctors or teachers who rarely have specialized training in parent consultation skills.10 Most of the family -
based programmes targeting adolescents are only available to selective subpopulations of adolescents (those who have identified
risk factors) and / or indicated subgroups of youth (those who already possess negative symptoms or detectable problems).
Our study also has key strengths: 1) analyses were
based on a community sample and we were able to estimate the burden of behavioural problems associated with food insecurity among children in the general population, while most prior studies focused on high -
risk families; 2) longitudinal follow - up of children's mental health allowed us to distinguish different types of symptoms and their developmental patterns over up to 7 years of follow - up; 3) statistical
adjustment for multiple individual and family factors potentially associated with children's outcomes.
It's these
adjustments that explain why you may not be eligible for the rates you see advertised online and in the newspapers — your particular loan may be subject to this
risk -
based pricing that raises your mortgage rate and closing costs.
In effect since April 2009, loan - level pricing
adjustments are changes to a loan's
base rate and / or fee structure
based on that loan's inherent
risk is to Wall Street.
A loan - level pricing
adjustment (LLPA) is a
risk -
based fee assessed to mortgage borrowers using a conventional mortgage.
Unless something catastrophic happens or the government changes how they penalize borrowers for having a credit score under 740 with
risk based pricing (level price
adjustments), I see mortgages rates climbing moderately by about.25 % to.375 % in 2015, which will put rates in the 4.5 % to 4.75 % range.