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Preferred Provider Organizations PPO
health care delivery systems at the bargaining table. 4. Individuals--A profound change in individuals' ... present in most cases. However, a number of major U.S. employers have taken steps in the direction of coordinating ...- 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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Session 033: Regulatory Roundtable
Session 033: Regulatory Roundtable Insurance commissioners and/or deputy commissioners will ... follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ...- Authors: David Dillon, Laura Arp , Kendall Buchanan, Erin H. Klug
- Date: May 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health insurance; Public Policy
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Issues Related To Health Insurance Reserves
that went into the determination of any particular table of claim costs. We need to keep in mind that we ... minimum standards with respect to interest and mortality (page 23 of the May 27, 1986 report). MR. ROBERT ...- Authors: E Paul Barnhart, Russell R Conn, W H Odell, Donald M Peterson, Robert Shapland
- Date: Jun 1986
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Health Valuation Issues: Traditional Products
Health Valuation Issues: Traditional Products Panelists lead participants in a discussion ... insurance, maybe every 10 years you update the mortality table, and the life expectancy changes every year ...- Authors: Jin-Dih Shih, Martin Staehlin, Kenny W Kan
- Date: Jun 2003
- Competency: Communication; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Standards of practice; Health & Disability>Health insurance
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HSAs, HRAs and LMNOPs
Anders Ltd., in McLean, Va. Note: The chart(s) referred to in the text can be downloaded at: http://handouts ... working in consumer-directed health care since 2000, and I can tell you that the value proposition is ...- Authors: John Lloyd, Robert Stahnke, Kismet Toksu, Victoria C Arndt
- Date: Jun 2005
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Creative Provider Reimbursement Approaches
the more important issues or advantages (Table 1). TABLE 1 TRADITIONAL REIMBURSEMENT APPROACHES—FEE ... modified, which is one that uses a fee schedule (Table 2). There are a lot of the same advantages and ...- 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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Open Ended Managed Care Plans
clinics to do some comparisons of utilization. Table 1 shows the metropolitan area average of office ... provide the same kind of information on X-ray costs (Table 2). In this example, clinic B management says, "Well ...- Authors: Application Administrator, Gregory N Herrle, Mary Brainerd, Ted Wise
- Date: Apr 1990
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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The Health Valuation Actuary
sioner." Well, it says if you don't have a tabular table, which you won't because there is none, you've got ... with a quick example and show you what happens on Table 1. 3121 CONTRACT RESERVES DOLLARS 300 250 ...- Authors: Darrell Knapp, Robert Laux, Thomas J Stoiber, Norman J Zwitter, Alan R Holcomb
- Date: Oct 1990
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance
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Group Life And Health Insurance
second product we sell is single premium deferred annuity. The third product is individual retirement annuities ... published in 1978 by the Marketing Department to U.S. News and World Report revealed that 86% of the employees ...- Authors: Paul R Fleischacker, Anthony Proulx, Barry L Shemin, Jerome Winkelstein
- Date: Apr 1983
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Health Care Inflation
conducted by the Office of the Inspector General of the U.S. Department of Health and Human Services. This report ... to be high utilizers of those services. MR. DAVID S. HELWIG: I have a question for Mr. Kovener regarding ...- Authors: John D Bohon, Charles DeWeese, Alice Rosenblatt, Janet Carstens, Ronald R Kovener
- Date: Apr 1988
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance