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Catastrophic Health Care Events: Implications for Pricing
Medical Scientists in Boston, MA. Note: The chart(s) referred to in the text can be found at the end of ... the idea here is that if we're trying to use year 2000 claims to estimate utilization of an antibiotic ...- Authors: Michael McLean, Timothy Robinson, Harry Poteat, Chuck Becker
- Date: Oct 2001
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health risks
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New and Improved Managed and Unmanaged Care: Reimbursement Models and Disease Management Programs
Corporation in Overland Park, KS. Note: The chart(s) referred to in the text can be found at the end of ... is 90%. There was an extensive review done of all U.S. births between 1990 and 1995, and that showed that ...- Authors: Mark Troutman, Brian Dale Shively, Michael Sturm, Kurt Wrobel, Alan Winston, Jane L Johnson
- Date: May 2001
- Competency: Results-Oriented Solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health risks; Reinsurance>Health reinsurance
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The Actuary and Underwriting: Operations and Profitability in 21st Century Health Risk Management
in the underwriting process. From 1995 through 2000, Mark was the president and CEO of Infotrust. Prior ... price has gone to 60 pounds sterling, roughly $90 U.S., and is said to be destined to reach 100 pounds ...- Authors: Mark J Franzen, Valerie Lendt, Hank George, Kathy Thomas
- Date: Jun 2003
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health risks
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Risk-Based Capital for Health Organizations
health actuary for the Insurance Division of the U.S. Department of Commerce of Minnesota, St. Paul. ... factors in the PSO waiver with the MCO RBC (see Table 1 on page 5). As Julia mentioned, there are four ...- 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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Managed-Care Risk-Sharing Arrangements
is between three and six months after the fact. Table 1 is expected to give you an idea of a typical risk-sharing ... contingenciesof the nature of what I describedbefore. TABLE 1 Typical Risk-SharingArrangement Aggregate stop-loss(Reinsurer) ...- Authors: John Fritz, Brent Greenwood, Harry L Sutton, Mitchell J Goodstein
- Date: Apr 1993
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health risks
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Risk Classification for Individual Health Insurance
there are basic differences in male versus female mortality, I think we could survive with unisex rates, although ... ferable alternative to National Health Insurance. The U.S. Senate Committee on Finance recommended it as an ...- Authors: Alan N Ferguson, Charles Habeck, Andrew M Perkins, Mary M. Bach
- Date: May 1981
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health risks
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Wellness/Health Status
Profiles were developed as a basis of measuring mortality risk, rather than morbidity. One of the results ... estimate of the mortality characteristics of that individual. An individual's mortality would be com- ...- Authors: James C Modaff, David Ogden, Kevin McCarthy
- Date: Apr 1986
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks
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Health Risk Adjustment
Information Act request and were forwarded on to me. Table 1 shows the transfers that are over half a million ... so what will happen in the end we don't know. TABLE 1 NEW YORK RISK ADJUSTMENT MECHANISM DEMOGRAPHIC ...- Authors: P Anthony Hammond, William Lane, Alice Rosenblatt
- Date: Jun 1994
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health risks
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Rationing Health Care
Rationing Health Care This session is about rationing health care. From Record of Society ... less than 1% of total health care spendingin the U.S. So, I'm not sure that is the problem, as such; it's ...- Authors: Gregory Benesh, Howard Kurpit, Janet Carstens, Martin Gaynor, John B Crosby
- Date: Oct 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Ethical standards; Professional Values>Public interest representation
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Public Policy; Public Policy; Social Insurance>Medicaid