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Health Reinsurance
Health Reinsurance 2003 Valuation Actuary Symposium, San Diego, CA. The panel discussed the ... Symposium, San Diego, CA. The panel discussed the current challenges in the health reinsurance marketplace ...- Authors: Application Administrator, James Grant, Michelle Fallahi
- Date: Sep 2003
- Competency: Results-Oriented Solutions
- Topics: Health & Disability>Health insurance; Reinsurance>Coinsurance; Reinsurance>Stop-loss insurance
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Valuation of Care Management Vendors
Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings by external ...- Authors: Rick S Pawelski
- Date: May 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Paying the Doctors Bills - How Can It Be Done?
Paying the Doctors Bills - How Can It Be Done? 1994 SOA Meeting, San Antonio. This session on physician ... physician reimbursements focused on arrangements that might be offered by managed care companies, such as ...- Authors: Nancy F Nelson, Janet Carstens, Scott E Guillemette
- Date: Jun 1994
- Competency: Results-Oriented Solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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A Method for Analyzing Specific Stop-Loss Medical Insurance Claims
This paper presents a method for analyzing the experience of a stop-loss underwriter to develop a claim ... with the limitations presented from certain limited information so as to get the most out of the available ...- Authors: Timothy Ross
- Date: Jan 1993
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health insurance
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How to Succeed in the Worksite Market
How to Succeed in the Worksite Market This article describes the four keys to successful worksite marketing: ... Onsite selling either with group meetings or one-on one using professional enrollers. 2. Use a process ...- Authors: Al Barthelman
- Date: Dec 1998
- Competency: Results-Oriented Solutions
- Publication Name: Small Talk
- Topics: Annuities>Marketing and distribution - Annuities; Health & Disability>Accident insurance; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Life Insurance>Marketing and distribution - Life Insurance
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Point-of-Service Plans - Where are We Now?
Point-of-Service Plans - Where are We Now? 1993 SOA Spring Meeting, San Diego. This session is ... is about point-of-service plans, overview of current enrollment statistics/ tends, in-network and out ...- Authors: Edward Cymerys, Andrew H Hiles, Steven Wander, Dennis Lee
- Date: Apr 1993
- Competency: Results-Oriented Solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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A Patient Centric Approach to AI in Health Insurance
Patient Centric Approach to AI in Health Insurance The article explores how integrating AI into insurer ... non-disruptive approaches aim to increase the effectiveness of patient interventions and improve medication ...- Authors: Scott Damery
- Date: May 2024
- Competency: Results-Oriented Solutions
- Topics: Health & Disability; Health & Disability>Health insurance; Technology & Applications; Technology & Applications>Artificial intelligence & machine learning
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Provider Network Building In Nonmetropolitan Areas
2. What influence will health care reform have on such systems? 3. Does a single-payer system ... populations? 4. How does health care reform impact nonmetropolitan markets? Demographics;Health care ...- Authors: James O'Connor, Roy H Flaherty, Douglas Freeman, Thomas L Wiley
- Date: Jun 1994
- Competency: Results-Oriented Solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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New Contract Medicare Star Ratings: Why The Sudden Cliff?
New Contract Medicare Star Ratings: Why The Sudden Cliff? On average, contracts receiving their first ... 90 stars on average. This 0.70 disparity in quality ratings creates significant hardship on new contracts ...- Authors: Suzanna-Grace Sayre, Danielle Beierle
- Date: Jan 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
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An Analysis of Loss Reserves in Canada
An Analysis of Loss Reserves in Canada This paper investigates the accuracy of loss reserves by comparing ... with the actual results five years hence. The ultimate purpose was to provide an estimate of the amount ...- Authors: Robert Brown, Harry H Panjer
- Date: Jan 1991
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health insurance