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Clinical Issues in Actuarial Analyses for Managed Care Organizations MCOs
Clinical Issues in Actuarial Analyses for Managed Care Organizations MCOs Panelists at this session of ... clinicians and actuaries work together in a managed care environment and how they can serve as a resource ...- Authors: Richard L Doyle, Susan K Hart
- Date: May 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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The Role of Supplemental Coverages Under Health Care Reform
The Role of Supplemental Coverages Under Health Care Reform This session discusses what will happen ... under health care reform. Topics include traditional group ancillary benefits, health care reform supplements ...- Authors: Michael S Abroe, Cecil Bykerk, Dawn E Helwig, Deborah A Grant
- Date: Jun 1994
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance; Public Policy
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Effectively Implementing Managed Care in the Small Group and Individual Markets
Managed Care in the Small Group and Individual Markets Panelists discuss various managed care strategies ... health plans;Managed care;Marketing and distribution;Payment models=Health care payment models;Underwriting;Disease ...- Authors: James O'Connor, James F Hall, Catherine Young
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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The Changing Roles of Federal and State Governments in Regulating Health Care
Federal and State Governments in Regulating Health Care Panelists at this session of the SOA 2000 Las Vegas ... federal and state governments in regulating health care insurance, the potential overlaps of these jurisdictions ...- Authors: Burton Jay, Thomas Jacob Leibowitz
- Date: May 2000
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Public Policy
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Health Care Reform in North America: What Can the United States Learn from Canada and What Can Canada Learn from the United States?
Health Care Reform in North America: What Can the United States Learn from Canada and What Can Canada ... discuss the major features of the Canadian health care program and the U.S. market, including current deliberations ...- Authors: John Bertko, Roland E King
- Date: Jun 1995
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Mass Marketing Of Individual Health Insurance
Mass Marketing Of Individual Health Insurance The panel at this session of ... including Section 125 products, trends and problems in direct response, and claim settlement issues. Antiselection;Claims ...- Authors: Jay Jaffe, Richard H Wille, James P Daly
- Date: Apr 1989
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Preferred Provider Organizations PPO
success of PPOs, PPOs affect on employer health care expenditures, employee utilization of PPOs, the ... Society of Actuaries Vol. 11, No. 4A. Health care costs;Health care quality; 15791 10/1/1985 12:00:00 AM ...- Authors: James Galasso, Thomas Handley, Ronald Harris, Francis Keenan, Philip Lehpamer
- Date: Oct 1985
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Creative Provider Reimbursement Approaches
Creative Provider Reimbursement Approaches Panelists at this session of the SOA 1998 Maui ... the best solution. Health care costs;Managed care;Payment models=Health care payment models;Risk assessment; ...- Authors: Sunit Patel, Steven Wander, Scott E Guillemette, Susan Pantely
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Alternate Delivery Systems – Where Are We Going?
Going? Discusses what the prevalent form of health-care financing will be in the future: Health Maintenance ... Organizations [PPOs], Managed Care fee-for-service insurance contracts [Managed Care], and Triple-Option products ...- Authors: Richard S Bilisoly, Brent Greenwood, Timothy M Harrington, Thomas L Miller, John Price
- Date: Apr 1987
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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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