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  • Recent Developments in the Health Care Market
    include reasonable benchmarks which allow an individual to understand what items truly cost or reasonably ... the False Claims Act criteria of fraud. In the table below, we show how billing changes in billing patterns ...
    • Authors: Michael Frank
    • Date: Feb 2019
    • Competency: Communication; External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
    • Publication Name: Innovators & Entrepreneurs
    • Topics: General Insurance (Property & Casualty)>Claims - General Insurance; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Life Insurance>Claims - Life Insurance; Long-term Care>Public financing - Long-term Care; Health & Disability>Affordable Care Act (ACA)
  • Claim Reserves
    majority of its accident and health business is on individual accident and sickness policies which provide ... relate not only to an entire company, but also for individual reporting units and lines of business. As a result ...

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    • Authors: Rafal J Balcarek, Walter J Fitzgibbon, Peter L Hutchings, Spencer Koppel, Herbert Orenshein
    • Date: Apr 1978
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Life Insurance>Reserves - Life Insurance; Life Insurance>Claims - Life Insurance; Public Policy