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Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level Presenters discuss ... discuss the differences between patient treatment protocols and length-of-stay guidelines, and some of the ...- Authors: Donna Kalin, Deborah Loveland, William E Mabe
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance
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An Overview of Health Issues and Recent Developments for the Non-Health Actuary
An Overview of Health Issues and Recent Developments for the Non-Health Actuary This session discussed ... long-term effects, the emerging responsibility for providing long-term care, rise of managed health care ...- Authors: Phyllis Doran, Roland E King, Charles Larimer, Joseph W Moran, John K Ninomiya
- Date: Apr 1986
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health care; Long-term Care>Long-term care insurance; Public Policy; Social Insurance>Medicare
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Small-Employer Health Insurance Purchasing Alliances
Small-Employer Health Insurance Purchasing Alliances Presented at June 1996 Spring Meeting. This ... Meeting. This session provides a description of several state purchasing alliances and their experience ...- Authors: James O'Connor, Harvey Sobel, Jim H Srite, Susan Jackson, Richard Figueroa
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Public Policy
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The Evolving Regulatory Environment for Health Care
The Evolving Regulatory Environment for Health Care Panel discussion on how insurers can deal with the ... the proliferation of laws, court decisions and regulations, and on the outlook for future developments ...- Authors: Harold I Cohen, Richard Minck, Daniel W Pettengill, Peter Thexton, Nathaniel Taft
- Date: Oct 1977
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health insurance; Public Policy; Public Policy
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Individual Disability Income Problems
Individual Disability Income Problems Panel discussion on current issues, trends, and methodology in individual ...- Authors: Anthony J Houghton, William J Taylor, Martin L Zeffert, Benjamin J Jones
- Date: Oct 1977
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Professional associations; Economics>Health economics; Health & Disability>Disability insurance; Public Policy
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Working With Health Care Coalitions
RECORD OF SOCIETY OF ACTUARIES 1986 VOL. 12 NO. 4A WORKING WITH HEALTH CARE COALITIONS Moderator: ... speaking on health care coalitions expectations. We then have a response from Bill Rosenberg on insurers' ...- Authors: Andrea B Castell, James P Hilferty, William H Rosenberg, Charles J Sherfey, Jean M Wodarczyk, Joseph H Rosmann
- Date: Oct 1986
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Professional network leverage; Professional Values>Public interest representation; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health information technology; Technology & Applications>Analytics and informatics
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Mental Health Insurance Parity
Mental Health Insurance Parity Presenter examines federal and state efforts at parity in the ... efforts at parity in the area of mental health insurance. From the Record of the Society of Actuaries, Vol ...- Authors: Stephen P Melek
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
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Health Insurance - Legislation and Inflation
Inflation Discussion of possible national health care reform measures, including coverage for the unemployed, ... administrated plans. Also an overview of recently enacted legislation at both the state and federal level, and ...- Authors: Richard H Hoffman, William C Hsiao, Robert J Myers, William Thomas
- Date: Apr 1975
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Public Policy
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Health Insurance from a Non-Actuary's Viewpoint
about outside actuarial profession's perspective on health care cost, insurer's role in medical care ... appropriate use of underwriting and paying for uncompensated care. From Record of Society of Actuaries Vol ...- Authors: Norman E Hill, Peter LePort, William Carter Henning, Harold C Yancy
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Proposals for Health-Care Reform
presented, one from the Blue Cross/Blue Shield Association and one from the Council for Affordable ... compared and open for critique. From Record of Society of Actuaries Vol. 18, No. 4A. Government-funded ...- Authors: Gregory N Herrle, Greg Scandlen, Liz Conway
- Date: Oct 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health insurance; Public Policy; Public Policy