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Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
and home care are scheduled to be in place by 2000. These changes will result in the need for many ... intended to be budget neutral. Also, in the year 2000 there will be risk status adjustment. All of these ...- Authors: Oscar Lucas, Peggy Tyndall
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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Current Medicare Issues and How the American Academy of Actuaries Is Involved
risk adjusted in the future, starting in the year 2000. Some of the issues that we identified with respect ... spring 1999, and it's to be implemented by the year 2000. The issues that we added into our paper were actually ...- Authors: Application Administrator, Thomas F Wildsmith, Donna C Novak, Jill Ann Stockard, John Trout
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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New Forms Of Agency Compensation - Impact On Product Design And Company Profitability
reinsurance company. Our last speaker will be Mr. Ted S. Bernstein, President of Assured Enterprises in the ... changes our industry is to see, the need for basic mortality protection products is not going to go away. And ...- Authors: Harold G Ingraham, Robert W MacDonald, Philip Polkinghorn, Ted Bernstein
- Date: Oct 1986
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Life Insurance>Marketing and distribution - Life Insurance
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Health Valuation Actuary Toolbox
list of obligations and their size is shown in Table 1. Given the magnitude of our nonreserve obligations ... were not always identical to the balance sheet. TABLE 1 What Obligations How Big (millions) Aggregatereservefor ...- Authors: Edgar Goral, Application Administrator, Julia T Philips, James N Roberts, Jerome Winkelstein
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Best practices; Finance & Investments>Investment policy; Finance & Investments>Investment strategy - Finance & Investments; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Disability insurance; Health & Disability>Health insurance
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Pricing Issues Related to Supplemental Health Products
_________________________________ *Copyright © 2000, Society of Actuaries Note: The charts for this ... it’s only affecting 10% more of the physicians. Table 1 was done for 1995. It’s a little dated, but it ...- Authors: Floyd Martin, Dennis Hare, Darrell D Spell
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Accident insurance; Health & Disability>Critical illness insurance; Health & Disability>Health insurance; Reinsurance>Product development - Reinsurance
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Risk-Based Capital for Health Organizations
health actuary for the Insurance Division of the U.S. Department of Commerce of Minnesota, St. Paul. ... factors in the PSO waiver with the MCO RBC (see Table 1 on page 5). As Julia mentioned, there are four ...- Authors: Julia T Philips, Donna C Novak, Steven Wander
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Health insurance; Health & Disability>Health risks
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Risk Management Governance
unit. I think the oversight standards numbers S 2 and S 3 say that the board should oversee the development ... which is a significant player in the variable annuity market, individual life market and group disability ...- Authors: Craig R Raymond, Francis Sabatini, Kenneth Swenson
- Date: May 2005
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Enterprise Risk Management>Governance; Enterprise Risk Management>Risk measurement - ERM
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A Single-Payer Health Care System for the United States
After serving two years as a medical officer in the U.S. Army, he practiced for over 30 years in San Clemente ... single-person consultancy working mostly in the U.S. medical market with particular emphasis in the ...- Authors: Hobson Carroll, Bryan Miller, Don R McCanne
- Date: May 2004
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Actuarial Reports Under ERISA
be summarized and distributed to plan participan{s. In addition, on request, a plan participant can obtain ... average final salary plans and (b) suspended group annuity offsets. It was indicated that we would be permitted ...- Authors: M David R. Brown, Neil R Cronquist, George B Swick
- Date: May 1975
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Pensions & Retirement>Pension legislation and regulation
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Defining Best-In-Market Health Opportunities
Marketing Moderator: DALE H. YAMAMOTO Panelists: MINDY S. KAIREYt Recorder: DALE H. YAMAMOTO Summary: Health ... it all in the past, so, bear with us. Ms. Mindy S. Kairey: We're going to spend a little bit more than ...- Authors: Dale Yamamoto, Mindy S Kairey
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance