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Profiling Physician Performance
Profiling Physician Performance Panelists discuss the methods HMOs employ to measure their providers' quality of care, outcomes, compliance with best practice guidelines, and cost ...- Authors: Joel C Hoffman, David Josephson, David Terry, John C Vataha, Kelly Myers
- 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: Actuarial Profession>Ethics; Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Regression analysis; Modeling & Statistical Methods>Simulation
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Consumers to the Rescue? A Primer on HDHPs and HSAs
Consumers to the Rescue? A Primer on HDHPs and HSAs This article examines the history, theory, and effectiveness of high-deductible health plans and health savings accounts. Consumer driven ...- Authors: Fritz Busch, Barbara Collier, Jason Karcher , Steven Phillips
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
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Quality of Life of the Elderly
Quality of Life of the Elderly Discussion of Symposium Session 3B. Papers presented: Living to 100 - A Women's Issue Evaluation of Approaches to Reducing Women's Longevity Risk Estimates ...- Authors: Deborah Briceland-Betts
- Date: Jan 2008
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Demography>Gender factors; Economics>Health economics; Social Insurance>Survivor benefits
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Change the Expectations in Health Care
Change the Expectations in Health Care Essay stating accessibility, affordability and efficiency are the key to success in the future of healthcare. Health economics;Health insurance;Inflation; ...- Authors: Jonathan L Shreve
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge; Leadership>Influence
- Topics: Economics; Economics>Health economics; Finance & Investments; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare
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An Actuarial Response to the Health-Care Crisis
An Actuarial Response to the Health-Care Crisis Discussion regarding who's to blame for cost increase, Government's role to ensure coverage and keep costs down, steps to control costs, ...- Authors: Daniel Wolak
- Date: Apr 2004
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Economics>Health economics
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North of the Border with the S.O.eh?
North of the Border with the S.O.eh? A review of the 2009 Health Spring Meeting, which included speakers & sessions on the future of the SOA, U.S. health care reform, claims data issues ...- Authors: Douglas Norris
- Date: Sep 2009
- Competency: Communication>Difficult message delivery; External Forces & Industry Knowledge; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Economics>Health economics; Public Policy
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New Member Impact on Medicaid Managed Care Costs
New Member Impact on Medicaid Managed Care Costs In this article, the authors explore how the recession has impacted new member enrollment in the various state health care programs and the ...- Authors: Bela H Patel Fernandez, Jeffrey L Smith
- Date: Feb 2010
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data>Morbidity; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
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Modeling Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance
Modeling Anti-selective Lapse and Optimal Pricing in Individual and Small Group Health Insurance A new health insurance pricing model takes external market prices into account, as well as ...- Authors: D Wei
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health risks; Modeling & Statistical Methods; Technology & Applications>Analytics and informatics
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Working With Health Care Coalitions
Working With Health Care Coalitions Panel discussion about ways can insurance carriers and health care coalitions work together, what data are coalitions requesting from health carriers, how ...- Authors: Andrea B Castell, James P Hilferty, William H Rosenberg, Charles J Sherfey, Jean M Wodarczyk, Joseph H Rosmann
- Date: Oct 1986
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Professional network leverage; Professional Values>Public interest representation; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health information technology; Technology & Applications>Analytics and informatics
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Managed Care Update
Managed Care Update An update on HMO market trends and reinsurance products, and services supporting them. Inflation;Medicaid;Medicare;Underwriting;Mergers & ...- Authors: Mark Troutman
- Date: May 2006
- Competency: External Forces & Industry Knowledge; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
- Publication Name: Reinsurance News
- Topics: Economics>Health economics; Health & Disability>Health insurance; Reinsurance>Health reinsurance; Reinsurance>Product development - Reinsurance