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Medicaid Risk Contracting
Medicaid Risk Contracting This ... 4b. Health care costs;Health economics;Health maintenance organization=HMO ;Long-term care=LTC;Managed ... care=LTC;Managed care;Medicaid; 17117 10/1/1995 12:00:00 AM ...- Authors: Application Administrator, Roland E King, James N Roberts, John Stark, Robert Cumming
- Date: Oct 1995
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability
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Group Dental
dental coverage, issues in benefit design, managed care [dental HMO & PPO] and market trends. From ... 19, No. 1B. Group health plans;Health care costs;Managed care; 16706 4/1/1993 12:00:00 AM ...- Authors: Kenneth E Bernardi, Edward P Kiernan, Jerome Seaman, Robert Cumming, Jeremy Conaway
- Date: Apr 1993
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Health Organization Risk-Based Capital, HORBC
organizations with focus on a new formula for managed care organizations and companies. Group health plans;Health ... organization=HMO ;Individual health plans;Managed care;National Association of Insurance Commissioners=NAIC;Risk-based ...- Authors: Burton Jay, Darrell Knapp, Robert Cumming
- Date: Sep 1998
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Financial Reporting & Accounting>Statutory accounting
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Development of a CCRC Model
article describes an actuarial model of continuing care retirement communities [CCRC] that was developed ... to describe the population of a CCRC. Long-term care=LTC;Stochastic models; 436 1/1/1992 12:00:00 AM ...- Authors: Application Administrator, Robert Cumming, Stanley Roberts
- Date: Jan 1992
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Modeling & Statistical Methods
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Gross Premium Valuations
Gross Premium Valuations 1998 Valuation Actuary Symposium. ... The speakers presented a case study on long-term-care gross premium valuations, GPV from an individual ...- Authors: Peggy Hauser, Robert Cumming, Ross Bagshaw
- Date: Jan 1998
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance; Long-term Care>Long-term care insurance; Reinsurance>Long-term care reinsurance
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Individual Medical - State Regulatory Issues
Individual Medical - State Regulatory Issues This session is about individual medical and ... of Society of Actuaries Vol. 19, No. 4B. Health care reform;Individual health plans;Loss ratio=LR;National ...- Authors: Application Administrator, William J Bugg, Morton B Hess, Robert Cumming
- Date: Oct 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Risk-Based Capital-An Update
Risk-Based Capital-An Update At the beginning of 1999, a new model regulation is expected to be ... and will regulate risk-based capital for managed care organizations. Panelists describe the regulation ...- Authors: Burton Jay, Robert Cumming, Donna C Novak, Peter Lynn Perkins
- Date: Oct 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability
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Health Section News, June 1998, Issue No. 35
. . . . . . . . . . . . . . . . . 12 “Managed Care” Capitation and Beyond”—Two-Day Seminar . 12 Minutes ... emphasis among casualty actu- aries. However, direct application to health insurance is not appropriate ...- Authors: Michael S Abroe, Thomas Corcoran, Dinkar B Koppikar, James Murphy, Bernard Rabinowitz, Thomas J Stoiber, Robert Cumming, Leigh Wachenheim
- Date: Jun 1998
- Publication Name: Health Watch
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Health Section, Issue No. 44, October 2002 Health Section News newsletter
1 Pharmacoeconomics: Why Should Actuaries Care? by Jill Van Den Bos 7 Chairperson’s Corner by Dan ... Dan Wolak 8 Make the Call: Evaluating Managed Care Networks by Steve Gaspar 10 Outpatient Facility ...- Authors: Daniel Wolak, Robert Cumming, Steven J Gaspar, Brian Small, Rowen Bell, Jill Van Den Bos, ROBERT FREDERICK MCCARTHY
- Date: Oct 2002
- Publication Name: Health Watch
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Predictive Modeling
to identify potential high-cost patients to direct into care or disease management programs. Finally ... the purpose behind those models is generally for care management or case management. I will finish ...- Authors: Ian G Duncan, Mark D Wernicke, Robert Cumming, Elizabeth Lewis
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance