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Health Maintenance Organization -HMO- Pricing Techniques.
development of medical cost estimates, differences between indemnity and HMO techniques, relationship of premiums ... and community rating by class. From Record of the Society of Actuaries 1987 Vol. 13, No. 1. Health maintenance ...- Authors: David W Krueger, David Ogden, Harvey Sobel, James B Little
- Date: Apr 1987
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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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 ... discuss the differences between patient treatment protocols and length-of-stay guidelines, and some of the ...- 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
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The State of Medicine in 1998 and the Next 50 Years
The State of Medicine in 1998 and the Next 50 Years This keynote address at the SOA 1998 Maui II spring ... outlook on the state of medicine in 1998, and what might be expected to change and not change in the short ...- Authors: George D Lundberg
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Staying On Course: Factors Driving the Pricing and Design of Today's Health Products
Staying On Course: Factors Driving the Pricing and Design of Today's Health Products Participants ... steps can be taken to anticipate and mitigate the effect of the recession on health insurance costs. Those ...- Authors: Brent Greenwood, Darin Dalton, Christopher S Girod, Mike Taylor
- Date: Jun 2002
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Health Insurance as a Political Issue
Insurance as a Political Issue This session is about the Health insurance has become an important issue in ... election campaign. What effect will this have on the likelihood of major health-care reform, on public expectations ...- Authors: Stephen D Brink, Harry L Sutton, Bruce Barlow, Mark S Mellman
- Date: Oct 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Public Policy; Public Policy; Social Insurance>Government-funded healthcare
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Health Product Profitability
Profitability This session discussion is about the profitability outlook, both long and short term, ... ASO, Individual medical, and Individual disability income. From Record of the Society of Actuaries Vol ...- Authors: Application Administrator, David L Baxter, John A Hartnedy, W Duane Kidwell, John Ladley, Barbara Niehus, David Trindle
- Date: Oct 1988
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Purchasing and Quality Initiatives of the Leapfrog Group and Other Large Employers
Initiatives of the Leapfrog Group and Other Large Employers In this session, participants learn the issues ... respect to increased health care costs, the goals and objectives of the value-based purchasing initiative and ...- Authors: John Cookson, Jonathan E Conklin
- Date: May 2004
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Effect of Malpractice Insurance Costs on Health Care Delivery and Health Insurance
Effect of Malpractice Insurance Costs on Health Care Delivery and Health Insurance A panel of experts ... experts discusses the effect of malpractice costs on health care delivery and health insurance, and potential ...- Authors: James D Hurley, Liam M McFarlane, Application Administrator, Tim Barth, Donald J Palmisano
- Date: Oct 2003
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Managing Mental Health Cost
Managing Mental Health Cost This session discusess managing mental health cost through ... utilization review, and mandated benefits. From the Record of the SOA 1990 Vol. 16 No. 1 Health care costs;Health ...- Authors: John Fritz, Lynette Trygstad, Eugene D Hill, Sandra M Hittman
- Date: Apr 1990
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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AIDS Update and Reserving
Experience, trends and projections, medical and disability points of view, pricing, underwriting and epidemiologic ... implications and results of survey on current practices. From Record of Society of Actuaries Vol. 18, No ...- Authors: Robert Beal, Application Administrator, Timothy Harris, Jon Eisenhandler, Dorothy Petersen
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care