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Update on Risk Adjustment Methodologies
risk adjustment method has intensified as the .S. health care system increasingly moves to the use ... Budget Act of 1997 that starting on January 1, 2000, they will change the current AAPCC method to a ...- Authors: Neela Ranade, Alan Weiner, John Muldoon, Richard Averill
- Date: Oct 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability
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Hospital Perspective Of Health Care Financing
practice in this country than there are now by the year 2000. There are literally scores of companies building ... insurance carriers who are converting their "books u te contracted health plans, these are disturbing discontinuous ...- Authors: Wesley J Burbank, Robert Dobson, Mark D Peavy, Michael F Kipp
- Date: Apr 1985
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability
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Under-25 Life Group Medical Reform
DISCUSSION MR. PAUL R. FLEISCHACKER: As we all know, the U.S. spends more on health care than any other country ... Add to this the problem of the uninsured. In the U.S., there are approximately 37 million uninsured people ...- Authors: Paul R Fleischacker, Joseph W Moran, Thomas Snook
- Date: Oct 1991
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability; Public Policy
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Physician, Manage Thyself: The Changing Nature of Health Care Delivery
managed care in the U.S.. There are a lot of myths about managed care in the U.S.; one of the things ... those beneficiaries will use the PPO. Also in the U.S. we have what's known as managed indemnity. Managed ...- Authors: William J Thompson, Edward Hirshfeld, Barbara Barzansky
- Date: Jun 1995
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability
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State Health Reform Initiatives
vice president for actuarial services with Employer' s Health Insurance (EHI), which is part of Humana. She's ... get into some of the statistics that we compiled (Table 1). There are seven pooling regions. Regional demographic ...- Authors: Alan Ford, James Gutterman, Carol McCall, Daniel Winslow
- Date: Oct 1995
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability; Public Policy
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Employee Benefit Plans Funding and Cost
Employee Benefit Plans Funding and Cost This report is a summary of a meeting session that occurred ... of a meeting session that occurred at the SOA's 1976 Spring Meeting in Washington D.C. The general ...- Authors: Philip Briggs, John K Kittredge, Jack W Roberts, Don F Fackler
- Date: Apr 1976
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability; Social Insurance
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Data Quality Concerns for Health Actuaries
Data Quality Concerns for Health Actuaries Panelists address topics such as ... techniques for testing data quality, the actuary’s responsibility for verifying the reasonableness of ...- Authors: James E Drennan, Karl Volkmar, John Crooks, David V Williams
- Date: May 2001
- Competency: Professional Values; Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Standards of practice; Health & Disability
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Nontraditional Marketing: The Next Fifty Years
_________________________________ *Copyright © 2000, Society of Actuaries †Mr. Adiletti, not a member ... next five years or so a significant amount of annuity sales will either be transacted on the Internet ...- Authors: Jay Jaffe, Dan Snyder, II Walter H. Roder, John C Adiletti
- Date: Oct 1999
- Competency: Strategic Insight and Integration
- Publication Name: Record of the Society of Actuaries
- Topics: Annuities>Marketing and distribution - Annuities; Health & Disability; Life Insurance>Marketing and distribution - Life Insurance; Technology & Applications
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Medical Underwriting - A Retrospective
*Copyright © 2000, Society of Actuaries †Mr. Clark, not a member of the sponsoring organizations, is ... century and a half. The Travelers became the first U.S. company to offer modern accident coverage for railway ...- Authors: John T Clark, Michael L Kellen, John Krinik, Kenneth J Krause
- Date: Oct 1999
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability
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Recent Federal Legislation
Recent Federal Legislation The Health Insurance Portability and Accountability Act ... Also discussed are changes to Medicare, Children's Health Insurance Program, CHIP, and a proposed prescription ...- Authors: Thomas F Wildsmith, Cori Uccello
- Date: May 2001
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability; Social Insurance