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Creative Provider Reimbursement Approaches
the more important issues or advantages (Table 1). TABLE 1 TRADITIONAL REIMBURSEMENT APPROACHES—FEE ... modified, which is one that uses a fee schedule (Table 2). There are a lot of the same advantages and ...- Authors: Sunit Patel, Steven Wander, Scott E Guillemette, Susan Pantely
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Health Care Debate-My Way or the Wrong Way
billion. Golden Rule is a leading provider of individual major medical insurance products. Much of the ... proposed medical care savings accounts or medical Individual Retirement Account (IRAs) which would be designed ...- Authors: Nancy F Nelson, J Patrick Rooney, Steven Wander, Jan Malcolm
- Date: Jun 1994
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy
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The New RBC Formula For Managed Care Organizations
the annual statement under the current asset valuation rules of statutory accounting and, thus, are not ... have developed the following comparisons (see table, page 10) to illustrate the relative levels of RBC ...- Authors: Steven Wander
- Date: Nov 1997
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health risks
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Risk-Based Capital for Health Organizations
factors in the PSO waiver with the MCO RBC (see Table 1 on page 5). As Julia mentioned, there are four ... 5Risk-Based Capital for Health Organizations TABLE 1 COMPARISON OF FEDERAL PSO SOLVENCY REQUIREMENTS ...- Authors: Julia T Philips, Donna C Novak, Steven Wander
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Health insurance; Health & Disability>Health risks
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Point-of-Service Plans - Where are We Now?
most of the major nationalcardershave come to the table willingto negotiatehold-harmless languagefor their ... them. A classic case is the emergency room. An individual may have a pain in the evening and go to the ...- 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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Health Provider Excess Stop-Loss Issues
is a capitated provider such as a hospital, an individual practice association, or a medical group, and ... claims. Every line on the page represents an individual, and one person may be over their deductible ...- Authors: Steven Wander, Michelle Fallahi
- Date: May 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance