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Medicare Risk Contracts
community rate (ACR) filing process with the Health Care Financing Administration (HCFA). MEDICARE RISK ... allowed HMOs to contract with HCFA to provide health care coverage to Medicare beneficiaries on either a cost ...- Authors: Frank R Kopenski, Kenneth E Leinbach
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge; Professional Values>Practice expertise
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy; Social Insurance>Medicare
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Back to the Future with Medicare: What Lies Ahead?
associate administrator for management at the Health Care Financing Administration (HCFA). He has been the ... Benefits Inpatient hospital care Physician services Skilled nursing care Outpatient hospital services ...- Authors: Application Administrator, Richard Foster, Roland E King, Joseph Antos, Robert Lynch
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy; Social Insurance>Medicare
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Prescription Drug Update
major driver of the return to double digit medical care premium increases and renewed interest in Congress ... joining AdvancePCS, Amy worked in managed health care managing actuarial analysis for both commercial ...- Authors: Bryan Miller, Gordon R Trapnell, Amy Ann Companik
- Date: Oct 2000
- Competency: Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Public Policy
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AHPs: Are Association Health Plans a Remedy or a Pending Disaster?
development on Medicare, insurance reform and managed care legislation. I'm Jim O'Connor. I'm a consulting ... talk about why associations are important to health care. I'll also talk a little about the legislation ...- Authors: James O'Connor, Kris Haltmeyer, Donald G Dressler
- Date: May 2004
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Public Policy
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The Future of Individual and Small Group Medical Insurance
give you a good idea if you are purchasing health care at the right price, doing cost containment appropriately ... I think the more fundamental issue with health care purchasing is to recognize that it's very different ...- Authors: Application Administrator, James Oatman, Jerome Winkelstein
- Date: Jun 2003
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Public Policy
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Long Term Disability Insurance
conditions, changing work ethics, and improving health care. There should be separate tables by sex, LONG ... strictly through the individual contract. The primary problem with such a solution is that benefits would ...- Authors: John C Angle, W Duane Kidwell, William J Taylor
- Date: May 1977
- Competency: Communication>Oral communication; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Public Policy; Social Insurance
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Influencing Health Policy: Efforts and Impacts of the American Academy of Actuaries
uninsured, health care affordability, consumer-driven health care and long-term care. MR. GEOFFREY ... Milliman, and she has more than 20 years of health care expertise. She's consulted with health plans on ...- Authors: Geoffrey C Sandler, Janet Carstens, Cori Uccello, Craig Hanna
- Date: May 2004
- Competency: Communication>Persuasive communication
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Academic partnerships; Actuarial Profession>Professional associations; Public Policy
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Individual Disability Income Problems
of the early 1930s seems to indicate that the primary problem is claim durations. The stock market crash ... who say they are disabled. I believe that the primary reason why the private and public disability income ...- Authors: Anthony J Houghton, William J Taylor, Martin L Zeffert, Benjamin J Jones
- Date: Oct 1977
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Professional associations; Economics>Health economics; Health & Disability>Disability insurance; Public Policy