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Session 008: Best Practices in Risk-Based Contracts
follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... ACO Methods • Plurality of visits in prior year(s) with provider in ACO • Patient designates provider/ACO ...- Authors: Traci Leigh Hughes, Daniel Santmyer, Joseph Dean Heintzelman , Michael Goran, Jennifer Leazzo
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Health Care Cost Trends
Health ... 2004, Society of Actuaries Note: The chart(s) referred to in the text can be found at the end of ... Moderator: BRIAN G. SMALL Panelists: CHARLES S. FUHRER PETER K. REILLY LISA F. TOURVILLE ...- Authors: Charles S Fuhrer, Peter Reilly, Lisa Tourville, Brian Small
- Date: Jun 2003
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Dealing With Unexpected Changes In The Health Care Environment
parathyroid or small bowel transplantation. In the U.S. the number of heart transplantations has almost ... 62 liver transplantations were performed in the U.S.; in 1983, 164; in 1984, 296; in 1985, 605; and ...- Authors: Michael L Kellen, Richard Kischuk, John Richard Smith, Andre Chuffart, William Schaffner
- Date: Apr 1987
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Session 099: The Connection Between Oral Health and Medical Outcomes
Health in America: A Report of the Surgeon General (2000) TOTAL HEALTH AND WELLNESS ARE INEXTRICABLY LINKED ... federal and nonfederal oral health initiatives” U.S. Department of Health and Human Services Oral Health ...- Authors: Dimple A Ambooken , Jan Grutzius, Court Melin , Herschel Reich, Ginny Roberts
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Experience Studies & Data>Policyholder or participant behavior - Experience ; Health & Disability>Health care
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Physician Performance Measurement
recommendation was developed by one arm of the U.S. federal government, The Agency for Health Care Policy ... indicator, for example, case mix adjusted hospital mortality rate. The advantage is that it measures success ...- Authors: Patrick J Dunks, E Andrew Balas, Randall S Vollertsen
- Date: Jun 1995
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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The Health-Care Financing Crisis
Associates in Menomonee Falls, Wis. Note: The chart(s) referred to in the text can be found at the end of ... talked about how we're going to pick between the U.S. health-care system and the Canadian system. It's ...- Authors: Mark E Litow, Valerie Lendt, John Rink, Kathy Thomas
- Date: Jun 2003
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Public Policy
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Health Topics For The Non-Health Actuary
from the capitation formula, particularly after 1987's small 4.5% in- crease. Twenty-nine HMOs with 8% of ... of what has always been pay-as- you-go expense. Table 1 shows the result of a valuation my company performed ...- Authors: Andrea Feshbach, Earl Hoffman, John Seidenstricker, Leslie Strassberg
- Date: Apr 1988
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Self-Funding of Health Benefit Programs
Self-Funding ... at Innoviant in Wausau, WI. Note: The chart(s) referred to in the text can be found at the end of ... 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 % C ha ng e in C os t ...- 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
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Executive Health
These figures were accumulated in the late 1950's before modern antihypertensive therapy really became ... armamentarium and I believe that the fall in mortality rate is a reflection of our much improved ability ...- Authors: Brian John Walker
- Date: Oct 1976
- Competency: Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Prescription Drug Update
Solutions in Franklin Lakes, NJ. Note: The chart(s) referred to in the text can be found at the end of ... Because you are all shareholders ultimately in the U.S. pharmaceutical industry, I think I can take that ...- Authors: Kevin Dolsky, Margaret Sparks, Terri Bernacchi, Christopher Wilson
- Date: May 2004
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care