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HMO Excess Reinsurance Treaty Considerations
requirements. Reinsurers may also offer access to managed care vendors to mitigate severity and frequency risk ... hospital inpatient services, since they are the primary drivers of catastrophic claims. Or, the plan may ...- Authors: Mark Troutman
- Date: Apr 2008
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Reinsurance>Catastrophe reinsurance; Reinsurance>Health reinsurance
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Health Section News, September 2001, Issue No. 41
.................2 ERISA Preemption and Managed Care Organizations by Louis G. Lana................ ... limits discussion to managed care and other short-term medical care policies and avoids the more complex ...- Authors: James Galasso, Jeffrey Miller, Mark Troutman, Daniel Wolak, Karl Volkmar, Leigh Wachenheim, Louis Lana
- Date: Sep 2001
- Publication Name: Health Watch
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Reinsurance News, May 2005, Issue No. 55
The number of years that the product or managed-care program has been in existence—as a plan matures ... Michigan has a program that allows the managed care plan to petition the state to take back the risk ...- Authors: J David Cummins, Ronald Klein, Mark Troutman, Melville J Young, Michael Gabon, Ernest Eng, James A Shanman, Rick Flaspohler, Lawrence Segel, Richard Jennings
- Date: May 2005
- Publication Name: Reinsurance News
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Reinsurance News, November 2007, Issue No. 61
CONSIDERATIONS Gregory G. Demars 22 REINSURERS AND DIRECT WRITERS: COMPARATIVE RESULTS FROM THE RECENT SOA ... non-discriminatory fashion and also arrange for managed care services such as case management uti- lization review ...- Authors: Graham Mackay, Tom O'Sullivan, Timothy J Ruark, Michael N Smith, Mark Troutman, Neil T Strauss, Mark A Swanson, Michael Frank, Gregory Demars, Henry K Witmer, Paul Sweeting
- Date: Nov 2007
- Publication Name: Reinsurance News
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Reinsurance Section News, May 2001, Issue No. 48
industry. Facing the same competitive challenges as primary insurers and increased client demand for more sophisticated ... national in scope, generally more so than the direct market. A random poll of ACLI member company reinsurers ...- Authors: Robert Beal, Monica Hainer, Mark Troutman, C Allen Pinkham
- Date: May 2001
- Publication Name: Reinsurance News
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Reinsurance News, May 2006, Issue No. 57
A RISK MITIGATION TOOL Ronnie Klein 23 MANAGED CARE UPDATE Mark Troutman 28 CONTRACT FINALITY—WHAT ... flavor of how the perspective varies between the direct side, the reinsurer, and the retro. RB: So much ...- Authors: Craig M Baldwin, Ronald Klein, Mark Troutman, William R Wellnitz, Michael Frank, Chris A Murumets, Larry Schiffer, Randall M Benton, Marshall Saunders
- Date: May 2006
- Publication Name: Reinsurance News
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What Is A Dollar Worth? (An Overview of Financial Reinsurance)
let’s describe it as any reinsur- ance where the primary purpose is financial management rather than risk ... h) Clients are typically reinsurers rather than direct writers i) Often quota share participations for ...- Authors: Mark Troutman
- Date: May 2001
- Publication Name: Reinsurance News
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Employer Stop Loss Insurance Considerations
non-discriminatory fashion and also arrange for managed care services such as case management uti- lization review ... may include additional coverages beyond medical care including dental, short term disability and vision ...- Authors: Mark Troutman
- Date: Nov 2007
- Competency: External Forces & Industry Knowledge
- Publication Name: Reinsurance News
- Topics: Reinsurance>Health reinsurance; Reinsurance>Stop-loss insurance
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Letter to the Editor
majority (80+%) of people in HMOs and other managed care plans are satisfied or highly satisfied with their ... satisfaction ratings. Published data on quality of care is also favorable. As far as the providers, no ...- Authors: Mark Troutman
- Date: Sep 2001
- Publication Name: Health Watch
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Reinsurance Section News, September 2001, Issue No. 49
support to the belief that, like U.S. direct writers, Canadian direct writers are reinsuring more business ... have recently increased their retention. Second, direct companies are, for capacity reasons, including ...- Authors: Robert Beal, Jeffrey Katz, Joseph F Kolodney, James L Sweeney, Mark Troutman, David Bruggeman
- Date: Sep 2001
- Publication Name: Reinsurance News