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  • Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
    Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level Presenters discuss the differences between patient treatment protocols and length-of-stay guidelines, and ...

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    • 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
  • Defining Best-In-Market Health Opportunities
    Defining Best-In-Market Health Opportunities Panelists discuss employers' perspective of defining strategies to identify best-in-market opportunities. From the Record of the Society of ...

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    • 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
  • Vendor Comments to A Comparative Analysis of Claims-Based Tools for Health Risk Assessment
    Vendor Comments to A Comparative Analysis of Claims-Based Tools for Health Risk Assessment The Johns Hopkins ACG Team's comments regarding their participation in the Comparative Analysis ...

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    • Authors: Society of Actuaries
    • Date: May 2007
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Regression analysis
  • Entrepreneurial Actuaries in Action—A Global Perspective of the Health Insurance Market
    Entrepreneurial Actuaries in Action—A Global Perspective of the Health Insurance Market Article is about a new course developed in actuarial science taught at Columbia University. Course covers ...

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    • Authors: Michael Frank
    • Date: Jan 2013
    • Competency: Communication>Oral communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Mentoring; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Global Perspectives>Global markets; Health & Disability>Health insurance
  • 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 ...

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    • 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
  • Cumulative Antiselection Theory
    Cumulative Antiselection Theory This paper, first published in 1982 in the Transactions of Society of Actuaries, Vol. 34, discusses the phenomenon of durational antiselection, a commonly observed ...

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    • Authors: Application Administrator, Charles Habeck, Francis T O'Grady, Claude Y Paquin
    • Date: Oct 1982
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Topics: Health & Disability>Health insurance
  • Research Paper Review: “Measuring Consumer Valuation of Limited Provider Networks”
    Research Paper Review: “Measuring Consumer Valuation of Limited Provider Networks” The Behavioral Finance subgroup of the Health Section will be publishing a series of literature reviews in ...

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    • Authors: Brian Plaskow, John Kinney, Sarah Hoover
    • Date: May 2016
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Economics>Behavioral economics; Health & Disability>Health insurance
  • Chairperson's Corner
    Chairperson's Corner Hear from the chairperson on themes in the March 2017 issue of Health Watch, published by the Health Section. Health care costs;Health care reform;Health ...

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    • Authors: Brian Pauley
    • Date: Mar 2017
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability
  • 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 ...

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    • 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
  • Will MedSupp Have “2020” Vision in the World of MACRA?
    Will MedSupp Have “2020” Vision in the World of MACRA? This article discusses the impact for MACRA legislation that will impact the Medicare Supplement market in 2020 and the ramifications for ...

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    • Authors: Kenneth Clark
    • Date: Mar 2017
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance