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Session 077: Medicaid Risk Adjustment: Understanding State Specific Design & Application for Effective Program Management
Session 077: Medicaid Risk Adjustment: Understanding State Specific Design & Application for Effective ... explore the national landscape of state Medicaid risk adjustment program design & application and the key ...- Authors: Zachary Aters, Suzanna-Grace Sayre
- Date: Jul 2019
- Competency: Results-Oriented Solutions
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models
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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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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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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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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