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Profiling Physician Performance
Panelists discuss the methods HMOs employ to measure their providers' quality of care, outcomes, compliance ... guidelines, and cost control. From the Record of the Society of Actuaries, Vol. 25, No. 2. Health care ...- Authors: Joel C Hoffman, David Josephson, David Terry, John C Vataha, Kelly Myers
- 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: Actuarial Profession>Ethics; Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Regression analysis; Modeling & Statistical Methods>Simulation
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An Introduction to Care and Disease Management Interventions Part 1
An Introduction to Care and Disease Management Interventions Part 1 Panelists discuss ... interventions, and measuring outcomes. From the Record of the Society of Actuaries, Vol. 31, No. 2, Session 31 ...- Authors: Ian G Duncan, Henry Dove
- Date: Jun 2005
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Chronic health management - Health & Disability
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Risk Adjustment Implementation Issues
first used for the Y2K reimbursements to Medicare+Choice laws. How did plans fare? What was the financial ... impact to the Medicare program? What changes are expected for the future? From Record of Society of Actuaries ...- Authors: John Bertko, Craig Schmid, Mel Ingber
- Date: May 2000
- Competency: 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: Public Policy; Social Insurance>Medicare
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Inflation, Forecasting, Real Rates of Interest
Inflation, Forecasting, Real Rates of Interest Discussion of inflation, the real rates of interest ... Rates of Interest Discussion of inflation, the real rates of interest and the forecasting of both.- Authors: Samuel Eckler, Lloyd K Friedman, Robert J Johansen, A David Pelletier, Gerald Richmond, Robert H Stapleford, Donald D Hester, Victor Zarnowitz
- Date: Apr 1982
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Macroeconomics
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Health Risk Adjustment
Health Risk Adjustment This session is about health risk adjustments. Health care reform issues ... and Society of Actuaries research activities will also be discussed. From Record of Society of Actuaries ...- Authors: P Anthony Hammond, William Lane, Alice Rosenblatt
- Date: Jun 1994
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health risks
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Trends In Underwriting
Trends In Underwriting Presented at May 1986 Spring Meeting. Discusses how decreases ... selection of risk techniques are being offset by increased lapse rates and selection costs. The panel discussed ...- Authors: James D Brock, Todd G Engelsen, Allan Johnson, Harry A Woodman, Howell C Martyn
- Date: May 1986
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Life Insurance>Underwriting - Life Insurance
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Health Valuation Actuary Toolbox
is about tools, techniques, and methods used by the health valuation actuary HVA in dealing with business ... reinsurance and claim reserves. From Record of Society of Actuaries Vol. 18, No. 1A. Cash flow testing;Claims ...- Authors: Edgar Goral, Application Administrator, Julia T Philips, James N Roberts, Jerome Winkelstein
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Best practices; Finance & Investments>Investment policy; Finance & Investments>Investment strategy - Finance & Investments; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Disability insurance; Health & Disability>Health insurance
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Health Care Financing Systems Around the World
Systems Around the World Presenter describes many of the desirable characteristics of a health care financing ... are found in other parts of the world. The advantages and disadvantages of each alternative system are ...- Authors: Chiu-Cheng Chang
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Global Perspectives; Health & Disability>Health care; Health & Disability>Payment models; Public Policy
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Underwriting
session looked at recent and proposed regulation of life insurance underwriting. Specific topics ... existing policies, persistency, coordination of previous data with newer classes, etc. Life reinsurance;Privacy ...- Authors: Neville Henderson, Michael Kavanagh, James Murphy, Peter B Patterson, Norm P. Taylor
- Date: Jan 1981
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Life Insurance>Underwriting - Life Insurance; Public Policy
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Self-Funding of Health Benefit Programs
Self-Funding of Health Benefit Programs This session covers current topics of interest to self-funded ... include carve-out of pharmacy, participation in employer coalitions for pooling of risk and negotiating ...- Authors: Edward Coldwell, Gregory Demars, Rich Wipperfurth, Timothy J Bowers
- Date: May 2004
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care