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The Alphabet Soup of Managed Care Organizations
The Alphabet Soup ... 6+/16*;/4155 5WOOCT[+PFKXKFWCN2TCEVKEG#UUQEKCVKQPU +2#U2J[UKEKCP*QURKVCN 1TICPK\CVKQPU 2*1U/CPCIG ... KNCDNGCPFVJGPC HGYEQPENWFKPIQDUGTXCVKQPU #U+UCKFOCPCIGFECTGKUCPGDWNQWUEQPEGRV+VO ...- Authors: Grady Catterall, Timothy Ross
- Date: Oct 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Trends in Group Products and Experience
Trends in Group Products and Experience This session from the 1995 SOA Vancouver Meeting covers ... including managed care, PPO's, HMO's, POS's and PHO's. It also covers new developments ...- Authors: Jeffrey Gavlick, Robert B Hardin, Susan McQuillian, Wayne V Roberts, Mick L Diede
- Date: Jun 1995
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance
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Surplus Management for Health Entities
Inc. in Scottsdale, AZ. Note: The chart(s) referred to in the text can be found at the end of ... administrative expenses for nearly 30 percent of all U.S. insurance. It is also the publisher of Pulse and ...- Authors: Phyllis Doran, Thomas Snook, Richard A Swift, Douglas B Sherlock
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Stories About Managed Medicaid Plans
Stories About ... GNFQH-CPUCU%KV[KP-CPUCU%KV[/KUUQWTK*G U TGURQPUKDNGHQTTCVKPICPFWPFGTYTKVKPIUWRRQTV ... KP/KUUQWTKCPF-CPUCU1WTQVJGTRCPGNKUVKU4GZ&WTKPIVQPYJQ UCPCUUQEKCVG CEVWCT[CV/KNNKOCP4QDGTVUQP /4KP5V ...- Authors: Rex Durington, Bryan Miller, William J Thompson
- Date: Oct 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Health Insurance and the Valuation Actuary
essentially the good and sufficient requirement. The U.S. is not the only place where actuarial opinions are ... are far stronger opinions than those issued in the U.S. Canada has legislatively required insurance companies ...- Authors: Jerry E Lusk, Donald J Martineau, Ed Butler
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Standards of practice; Health & Disability>Health insurance
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Trends in Large Health Claims
of aging and age demographic changes here in the U.S. Our definition of large claims is claims in excess ... that were paid in 1997, 1998, 1999, and even into 2000. When we think of it that way, we realize that ...- Authors: David E Olsho, Anthony Wittmann, Daniel Wolak, Larry Jackson
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks
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Predictive Modeling
Society of Actuaries Note: The chart(s) referred to in the text can be found at the end of ... those claims rolled out and completed in 1999 and 2000. Based on how they rolled out, we knew what the ...- Authors: Ian G Duncan, Mark D Wernicke, Robert Cumming, Elizabeth Lewis
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Outside Agencies' Views of Health Insurance and Reinsurance Companies [Outside Looking In - How are we Perceived?]
at A.M. Best in Oldwick, NJ. Note: The chart(s) referred to in the text can be found at the end of ... Perceived?) Track: Health Moderator: CYNTHIA S. MILLER Panelists: TIMOTHY W. CLARK† JOE FRANCE‡ ...- Authors: Cynthia Miller, Timothy W Clark, Dana B Mehta, Joe France
- 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 insurance; Reinsurance>Health reinsurance
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The Practical Application Of Risk Analysis Technique In Health Insurance
That is, cost levels and utilization levels reflect U.S. averages. The cross products of all of those frequencies ... claims. Once you have that - how do you build this table? You can do a lot of graphi- cal trial and error ...- Authors: Robert G Maule, Gregory W Parker
- Date: Oct 1983
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
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Group Products
GROUP PRODUCTS 1015 2. Mortality Recent United States population mortality tables, taken separately ... male and female spouses, are satisfactory. No mortality assumption need be included for children. 3.- Authors: John Cookson, H Douglas Lee, Ronald L W Till, E John Woolsey, Dennis J Whimpey
- Date: Dec 1976
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Life Insurance>Group plans - Life Insurance