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  • Risk Adjustment Implementation Issues
    Risk Adjustment Implementation Issues Risk adjusters were first used for the Y2K reimbursements to Medicare+Choice ... What was the financial impact to the Medicare program? What changes are expected for the future? From ...

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    • Authors: John Bertko, Craig Schmid, Mel Ingber
    • Date: May 2000
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Social Insurance>Medicare
  • A Single-Payer Health Care System for the United States
    Care System for the United States Attendees learn the major issues on both sides of the single-payer health ... learn the challenges associated with a massive conversion of our health care system and explore the economic ...

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    • Authors: Hobson Carroll, Bryan Miller, Don R McCanne
    • Date: May 2004
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health care
  • The Economics of Discrimination
    The Economics of Discrimination Economics professor discusses the economics of fair and unfair discrimination ... insurance. From the 1988 Record of Society of Actuaries, Vol. 14, No. 4B. Risk categories=Risk classes; 16193 ...

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    • Authors: Shane A Chalke, Walter E Williams
    • Date: Oct 1988
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Annuities; Health & Disability; Life Insurance
  • Risk Management Governance
    Risk Management Governance Risk governance is an important part of any risk management process, yet ... yet the insurance industry has not implemented the procedures and controls as extensively as banking. This ...

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    • Authors: Craig R Raymond, Francis Sabatini, Kenneth Swenson
    • Date: May 2005
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Enterprise Risk Management>Governance; Enterprise Risk Management>Risk measurement - ERM
  • Trends in Large Health Claims
    and future expectations, as well as the impact of managed care on large individual health claims under ... programs and under an HMO setting. From the Record of the Society of Actuaries, Vol. 25, No. 2. Antiselection;Claims ...

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    • Authors: David E Olsho, Anthony Wittmann, Daniel Wolak, Larry Jackson
    • Date: Jun 1999
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks
  • Effective Use of Capital
    Effective Use of Capital Panel discussion focused on the Effective Use of Capital. Topics included: ... included: 1. Definition of capital 2. Appropriate level of capital and surplus in a life insurance ...

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    • Authors: Richard Kischuk, John C Maynard, Owen A. Reed, Harry S Saunders
    • Date: May 1981
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Record of the Society of Actuaries
    • Topics: Finance & Investments>Capital management - Finance & Investments; Finance & Investments>Risk measurement - Finance & Investments; Reinsurance>Financial reinsurance
  • Effective Use of Capital
    Effective Use of Capital Panel discussion focused on the Effective Use of Capital. Topics included: ... included: 1. Definition of capital 2. Appropriate level of capital and surplus in a life insurance ...

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    • Authors: Michael E Mateja, Robert Shapiro, William H. Sahm
    • Date: Apr 1981
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Record of the Society of Actuaries
    • Topics: Finance & Investments>Capital management - Finance & Investments; Finance & Investments>Risk measurement - Finance & Investments; Reinsurance; Reinsurance>Financial reinsurance
  • Medicare+Choice Capitated Plans Update
    Spring Meeting. The Balanced Budget Act of 1997 dramatically changes the competitive landscape ... establishing the Medicare+Choice program. This session recaps the Balanced Budget Act's impact on payment ...

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    • Authors: Lynette Trygstad, Marvin S Segal, Suzanne Daly
    • Date: May 2000
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Pensions & Retirement>Retiree medical; Social Insurance>Medicare
  • Economic Risk Capital: Part 1
    Economic Risk Capital: Part 1 Economic capital is an embedded part of the banking risk management and ... and regulatory framework. The insurance industry has relied on rating agency and regulatory formulas that ...

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    • Authors: Hubert B Mueller, Application Administrator, Jose Siberon
    • Date: May 2005
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Enterprise Risk Management>Capital management - ERM; Finance & Investments>Economic capital
  • Health Insurance Portability and Accountability Act - One Year Later
    Later Panelists discuss the ongoing influence and long-term implications of the Health Insurance Portability ... Accountability Act on the health insurance market in the U.S. From the Record of the Society of Actuaries, Vol ...

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    • Authors: Cecil Bykerk, Donna C Novak, Julie Walton
    • Date: Oct 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy