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Alternative Provider Reimbursement Mechanisms
Alternative Provider Reimbursement Mechanisms Discusses health-care-cost reimbursement structures, from the facility/hospital perspective and the professional/doctor perspective. Also discusses ...- Authors: Kenneth S Avner, Raymond Gladych, Harry L Sutton, Michael A Cadger, Marc S Engelhart
- Date: Apr 1987
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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What's Happening Outside of Consumer-Driven Health Plans [CDHPs]?
What's Happening Outside of Consumer-Driven Health Plans [CDHPs]? This session discusses what is happening outside of CDHP with respect to plan & benefit trends/designs, underwriting ...- Authors: John Governale, Edgar W Schneider, Greg Thomas Russell, Stephen J Kaczmarek
- Date: May 2004
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Group Products
Group Products This session is from the 1976 Society of Actuaries Annual Meeting in Toronto in October. The presenters cover the following Group Insurance topics: Survivor Income Group Life ...- Authors: John Cookson, H Douglas Lee, Ronald L W Till, E John Woolsey, Dennis J Whimpey
- Date: Dec 1976
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Life Insurance>Group plans - Life Insurance
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Health Organization Risk-Based Capital
Health Organization Risk-Based Capital Presented at September 1995 Valuation Actuary Symposium. Discusses the Health Organization Risk-Based Capital formula. Health maintenance organization= ...- Authors: Peter Lynn Perkins, Michael Thompson, William J Thompson, Robert E Wilcox, Donna C Novak
- Date: Sep 1995
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Topics: Enterprise Risk Management>Capital management - ERM; Health & Disability>Health insurance
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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Risk Management
- Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
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Medicaid and the ACA
Medicaid and the ACA Medicaid and the ACA Patient Protection and Affordable Care Act= PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care ...- Authors: Rebecca Owen
- Date: Aug 2015
- 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
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch, June 2018, Issue 86
Health Watch, June 2018, Issue 86 Read the June 2018 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.- Authors: Society of Actuaries
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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The Role of the Actuary in Self-Insurance Released
The Role of the Actuary in Self-Insurance Released Announcement that the report of the Self-Insurance Task Force, a Health Section Strategic Initiative, has been released. Employee Retirement ...- Authors: John Mange, Hobson Carroll
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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Health Insurance Portability and Accountability Act - One Year Later
Health Insurance Portability and Accountability Act - One Year Later Panelists discuss the ongoing influence and long-term implications of the Health Insurance Portability and Accountability Act ...- Authors: Cecil Bykerk, Donna C Novak, Julie Walton
- Date: Oct 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: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Health Watch, March 2017, Issue 82
Health Watch, March 2017, Issue 82 Read the March 2017 issue of Health Watch, published by the Health Section. Practical information for actuaries, articles impact sections, section activities.- Authors: Society of Actuaries
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability