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  • Defining Best-In-Market Health Opportunities
    health plans=CDHP;Group health plans;Health care costs;Health care quality;Health economics;Health insurance;Health ... insurance;Health maintenance organization=HMO ;Managed care;Preferred provider organization=PPO;Prescription ...

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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
  • Health Insurance and the Valuation Actuary
    testing;Disability insurance;Group health plans;Health care reform;Health maintenance organization=HMO ;Health ... valuation tables;Long-term care=LTC;Long-term care insurance=LTCI;Managed care;Medicaid;Medicare;National ...

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    • Authors: Application Administrator, Michael Francescone, Frank E Knorr, Glenn A Giese
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Disability insurance; Health & Disability>Health care; Health & Disability>Health insurance; Long-term Care>Long-term care insurance
  • The ABCs of Health Maintenance Organizations [HMOs] and Physician Hospital Organizations [PHOs]
    The ... contracting, utilization controls, integrated health care, From Record of Society of Actuaries Vol. 20, No ... 3A. Health maintenance organization=HMO ;Managed care; 16896 6/1/1994 12:00:00 AM ...

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    • Authors: Lynette Trygstad, Jeffrey L Smith, John Stiglich
    • Date: Jun 1994
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • New Paradigms of Provider and Network Management
    managements for specific diseases, and the role of care management/care coordinators. From the 2002 Record of Society ... San Francisco Spring Meeting. Health care costs;Managed care;Preferred provider organization=PPO; 18298 ...

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    • Authors: Dennis Hulet, Jay C Ripps, Thomas Snook, John M Wray
    • Date: Jun 2002
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Trends in Large Health Claims
    future expectations, as well as the impact of managed care on large individual health claims under self-insured ... Antiselection;Claims review;Group health plans;Health care costs;Health maintenance organization=HMO ;Health ...

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    • Authors: David E Olsho, Anthony Wittmann, Daniel Wolak, Larry Jackson
    • Date: Jun 1999
    • 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: Health & Disability>Health insurance; Health & Disability>Health risks
  • Shifting Focus: Financial Management to Patient Management to Patient Management
    Shifting Focus: Financial Management to Patient Management to Patient Management Presented at June 1996 Spring ... discussed. Group health plans;Health care costs;Managed care; 17198 6/1/1996 12:00:00 AM ...

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    • Authors: Joyce Li, David Terry, Philip Turner, Randall S Vollertsen
    • Date: Jun 1996
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • HMOs: Myth Versus Reality
    HMOs: Myth Versus Reality This session discusses HMOs: do they manage health better, do provider financial ... Actuaries Vol. 16, No. 1. Antiselection;Health care quality;Health risks; 16323 4/1/1990 12:00:00 ...

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    • Authors: Herbert A Fritch, Dennis Hulet, Scott C Thornton, J Calven Howell
    • Date: Apr 1990
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Medicare + Choices: Impact of Self-Selection
    Medicare + Choices: Impact of Self-Selection Panelists discuss different aspects ... management;Health care costs;Health insurance;Health maintenance organization=HMO ;Health risks;Managed care;Medicare;Risk ...

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    • Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
  • Risk Absorption while Providing Health Benefits
    Risk Absorption while Providing Health Benefits Panelists discuss the ... various types of risks in health insurance and health-care delivery, and various types of risk-absorption mechanisms ...

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    • Authors: Kevin Dolsky, Paul R Fleischacker, Randall Herman, Nancy F Nelson, Mary Brainerd
    • Date: Oct 1987
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Pricing Issues Related to Supplemental Health Products
    review;Coinsurance;Credibility theory;Group health plans;Health care costs;Health insurance;Individual health plans;Loss ... distribution;Medical expenses;Persistency;Preventive care;Product development;Underwriting;Third party administration=Third ...

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    • Authors: Floyd Martin, Dennis Hare, Darrell D Spell
    • 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: Health & Disability>Accident insurance; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Reinsurance>Product development - Reinsurance