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The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help?
The Formulary Decision Process:What Are They Doing in There and Can Actuaries Help? This article ... considerable, possibly beyond the capacity of many individual health plans. While this may contribute to a ...- Authors: Jonathan L Shreve, Jill Van Den Bos, John Watkins, Kristin Reed
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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The Changing Demographic Landscape and Aging Population
funding mechanisms. Some experiments and some individual caregivers are working to overcome these barriers ... Callahan would deny it if he is over age N. Individual circumstances do not matter. The author finds ...- Authors: Society of Actuaries
- Date: Mar 2003
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Topics: Health & Disability>Health care; Long-term Care>Medical expenses; Public Policy; Social Insurance>Medicare
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Medicaid Encounter Data: The Next National Data Set
Medicaid Encounter Data: The Next National Data Set Summary of Medicaid encounter data, including ... required and some are not, depending on the individual state’s encounter submission process. The format ...- Authors: Jennifer Gerstorff, Sabrina Gibson
- Date: Sep 2016
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Internal forces and business performance
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability
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Does Managed Care Work?
Does Managed Care Work? This session discusses how managed care affects the cost and pricing of ... guy who has the best shot of getting her off the table alive, there's nowhere to get that information.- Authors: John Cookson, Brian R Klepper
- Date: Oct 2003
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Managing The Delivery Of Health Care To Control Medical Costs
Managing The Delivery Of Health Care To Control Medical Costs This session discussed Managing The ... not ever abandon is one of dual choice; each individual electing to be a member in our program joins ...- Authors: Wayne W Alberts, Harry L Sutton, Glen Wegner
- Date: Oct 1983
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Health Care Financing Systems Around the World
Health Care Financing Systems Around the World Presenter describes many of the desirable characteristics ... account design is very simple. lt belongs to the individual and you can pass them on to your descendants ...- Authors: Chiu-Cheng Chang
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Global Perspectives; Health & Disability>Health care; Health & Disability>Payment models; Public Policy
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Medical Technology - Where Is It Going?
in which the FDA has said, basically, that an individual can bring an investigative drug in from outside ... provider community wants to offer, and make an individual case-by-case determination as to whether or not ...- Authors: Edward J Wojcik, Lawrence Moy, Clifford S Goodman, Leslie D Michelson, David Tennenbaum
- Date: Apr 1989
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Medical Trends
care. Chart 6 compares changes in NHE versus individual OOP payments as a percentage of the NHE. The ... unnecessary or inappropriate care, but from an individual catastrophic side I would keep it flat, and ...- Authors: John Bertko, Lisa Tourville, Russel Hugh
- Date: May 2004
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Developments in Consumer-Driven Health Care
Developments in Consumer-Driven Health Care Panelists provide an update on recent events in consumer-driven ... thing. Frankly, I think all of us sitting at this table would love to see some sort of legislation that ...- Authors: Robert Gordon Cosway, Dean Fiscus, David M Tuomala, Stephen J Kaczmarek
- Date: Oct 2003
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Managed Mental Health and Other Ancillary Benefits
Managed Mental Health and Other Ancillary Benefits This session discussion is about managed ... you're not providing enough work or traffic to individual providers. One of the most difficult things in ...- Authors: Robert J Nelsen, Peter R Barnett, Kimberly C Babbin, Joan M Pearson
- Date: Apr 1993
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care