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Evaluating Managed Care Effectiveness: A Societal Perspective
Evaluating Managed Care Effectiveness: A Societal Perspective This analysis provides an overview of the functional components of the managed care system. It discusses the market forces underlying ...- Authors: Application Administrator, James Murphy, Jill S Schield
- Date: Oct 2000
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Social Insurance>Government-funded healthcare
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New Contract Medicare Star Ratings: Why The Sudden Cliff?
New Contract Medicare Star Ratings: Why The Sudden Cliff? On average, contracts receiving their first star rating receive 3.20 stars, compared to existing or established contracts receiving 3.90 ...- Authors: Suzanna-Grace Sayre, Danielle Beierle
- Date: Jan 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
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Prioritization of Health Services
Prioritization of Health Services This session is about the details of the inception and implementation of the Oregon Health Plan. From Record of Society of Actuaries Vol. 18, No. 1B.- Authors: Paul R Fleischacker, Harvey Klevit
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy; Social Insurance>Medicaid
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Medical Cost Offset and Behavioral Health Care
Medical Cost Offset and Behavioral Health Care The medical and behavioral health care provider communities have long debated whether high-quality behavioral health care reduces medical costs.- Authors: Stephen P Melek
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Medical and Rx Technologies - What's in the Pipeline?
Medical and Rx Technologies - What's in the Pipeline? This session presents information sources used in tracking health technologies, the value of health technology assessments and clinical ...- Authors: Lisa Tourville, Boris Garcia-Zakzuk, L SS
- Date: Jun 2005
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Health & Disability>Health information technology
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Session 28 - US GAAP Targeted Improvement – Accident and Health Insurance – Part 2 – Implementation Considerations
Session 28 - US GAAP Targeted Improvement – Accident and Health Insurance – Part 2 – Implementation Considerations This is the second half of a two-part session regarding FASB Targeted Improvement ...- Authors: Lo Linda Chow, Tamra Renee VanAllen
- Date: Sep 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health care
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Prescription Drug Plans
Prescription Drug Plans This session discussion is about controls on utilization, eligibility control, pricing considerations, benefit design, mail order programs and physician dispensing. From ...- Authors: Gerald R Bernstein, Stephen D Brink, Robert Field, Paul J Giovannello, Carl F Myers
- Date: Apr 1989
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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High Cost Claimants In Medical Benefit Plans
High Cost Claimants In Medical Benefit Plans This session discussion is about high cost claimants in medical benefit plans and how to control costs and anti-selection. From Record of the Society ...- Authors: Kenneth S Avner, John Cookson, Steven Siegel, Leslie M Alexandre, Mary G Henderson
- Date: Oct 1989
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care
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Group Major Medical Expense Insurance
Group Major Medical Expense Insurance Pilot study made determining a satisfactory form for future experience studies under major medical expense insurance. Major medical insurance; 2513 1/1/1956 ...- Authors: Society of Actuaries
- Date: Jan 1956
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Transactions of the SOA
- Topics: Health & Disability>Health care
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Hospital Contracting Best Practices
Hospital Contracting Best Practices Health Watch Newsletter, May 2006, Issue No. 52. This article presents information from a recently completed client-sponsored survey of hospital contracting ...- Authors: Application Administrator
- Date: May 2006
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care