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Health Practice Advancement Committee, Health Section Council, and AAA Health Practice Council Committee Update
Health Practice Advancement Committee, Health Section Council, and AAA Health Practice Council ... Committee Update Open meeting of the Society's Health Benefit Systems Practice Advancement Committee ...- Authors: Application Administrator, Thomas Corcoran, James Murphy
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; 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; Public Policy
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Actuarial Aspects of Alternative Care
demand, and activity of alternative care in the .S. during the 1990s • A description of the SOA Committee ... What's the demand right now of individuals in the U.S. for alternative care? And what's the activity? ...- Authors: Lee Eric Launer
- 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: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality
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Current Medicare Issues and How the American Academy of Actuaries Is Involved
risk adjusted in the future, starting in the year 2000. Some of the issues that we identified with respect ... spring 1999, and it's to be implemented by the year 2000. The issues that we added into our paper were actually ...- Authors: Application Administrator, Thomas F Wildsmith, Donna C Novak, Jill Ann Stockard, John Trout
- 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: Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
and home care are scheduled to be in place by 2000. These changes will result in the need for many ... intended to be budget neutral. Also, in the year 2000 there will be risk status adjustment. All of these ...- Authors: Oscar Lucas, Peggy Tyndall
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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Pricing Issues Related to Supplemental Health Products
_________________________________ *Copyright © 2000, Society of Actuaries Note: The charts for this ... it’s only affecting 10% more of the physicians. Table 1 was done for 1995. It’s a little dated, but it ...- Authors: Floyd Martin, Dennis Hare, Darrell D Spell
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Accident insurance; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Reinsurance>Product development - Reinsurance
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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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Defining Best-In-Market Health Opportunities
Marketing Moderator: DALE H. YAMAMOTO Panelists: MINDY S. KAIREYt Recorder: DALE H. YAMAMOTO Summary: Health ... it all in the past, so, bear with us. Ms. Mindy S. Kairey: We're going to spend a little bit more than ...- Authors: Dale Yamamoto, Mindy S Kairey
- 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>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
- 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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Use of Managed Care in Long-Term Care Insurance Contracts
each of those different reimbursement methods (Table 1). Again, if you're not doing any kind of care ... be coming out and needing more LTC services. TABLE 1 WHO ASSUMES THE RISK? Type of Reimbursement ...- Authors: Donald Charsky, Dawn E Helwig, Peggy Hauser
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Long-term Care>Chronic health management - Long-term Care; Long-term Care>Long-term care insurance; Long-term Care>Medical expenses; Social Insurance>Medicaid
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Hot Topics in Group Short-Term Disability Income
Disability Moderator: DAVID S. MOGUL Panelists: ANDRE C. BAILLARGEON DAVID S. MOGUL RAYMOND A. SIWEK ... SIWEK Recorder: DAVID S. MOGUL Summary: This session begins with a short presentation of current results ...- Authors: Raymond Siwek, David S Mogul, Andre Baillargeon
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Experience Studies & Data>Disability; Health & Disability>Disability insurance; Health & Disability>Disability tables
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Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
wanted this thing to go, get everybody around the table to agree on that, and then get everybody to play ... a small employer, they don't bring much to the table. When it comes to the network, the plan design ...- 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