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Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
Organizations: Getting a Bigger Bang for the Buck Panel discusses the effects of reduced payment levels to many ... Medicare managed care organizations. From the Record of the Society of Actuaries, Vol. 24, No. 2. Chronic ...- 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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The Formulary Decision Process: What Are They Doing in There and Can Actuaries Help?
The Formulary Decision Process: What Are They Doing in There and Can Actuaries Help? Actuaries should ... understand the economic considerations involved in the formulary drug decision-making process, and the presence ...- Authors: Jonathan L Shreve, Jill Van Den Bos, John Watkins, Kristin Reed
- Date: May 2011
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Influence
- Topics: Economics>Health economics; Health & Disability>Health care
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Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level Presenters discuss ... discuss the differences between patient treatment protocols and length-of-stay guidelines, and some of the ...- Authors: Donna Kalin, Deborah Loveland, William E Mabe
- 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>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance
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Useful Sources of Healthcare Data, Health Services Research, and Health Policy Information For Actuaries
Useful Sources of Healthcare Data, Health Services Research, and Health Policy Information For Actuaries ... Actuaries In the course of consulting engagements, actuaries almost always find they need one or more of the following ...- Authors: Society of Actuaries
- Date: Aug 2005
- 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
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Public Policy
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Profiling Physician Performance
Panelists discuss the methods HMOs employ to measure their providers' quality of care, outcomes, compliance ... guidelines, and cost control. From the Record of the Society of Actuaries, Vol. 25, No. 2. Health care ...- Authors: Joel C Hoffman, David Josephson, David Terry, John C Vataha, Kelly Myers
- 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: Actuarial Profession>Ethics; Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Regression analysis; Modeling & Statistical Methods>Simulation
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Consumers to the Rescue? A Primer on HDHPs and HSAs
Consumers to the Rescue? A Primer on HDHPs and HSAs This article examines the history, theory, and effectiveness ... effectiveness of high-deductible health plans and health savings accounts. Consumer driven health plans=CDHP ...- Authors: Fritz Busch, Barbara Collier, Jason Karcher , Steven Phillips
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
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Actuarial Aspects of Alternative Care
Actuarial Aspects of Alternative Care Presenter discusses issues related to alternative care, as well ... in regard to alternative care. From the Record of the Society of Actuaries, Vol. 24, No. 1. Health care ...- Authors: Lee Eric Launer
- 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: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality
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Providing Prescription Drug Coverage for Medicare Beneficiaries
Providing Prescription Drug Coverage for Medicare Beneficiaries A summary of Medicare reform ... Drug Coverage for Medicare Beneficiaries A summary of Medicare reform and its effect on prescription drug ...- Authors: American Academy of Actuaries
- Date: Jul 2000
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance
- Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Social Insurance>Medicare
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Health Practice Advancement Committee, Health Section Council, and AAA Health Practice Council Committee Update
Practice Council Committee Update Open meeting of the Society's Health Benefit Systems Practice Advancement ... Council, as well as the American Academy of Actuaries' Health Practice Council. The three committees ...- Authors: Application Administrator, Thomas Corcoran, James Murphy
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Defining Best-In-Market Health Opportunities
perspective of defining strategies to identify best-in-market opportunities. From the Record of the Society ... Society of Actuaries, Vol. 24, No. 1. Consumer-driven health plans=CDHP;Group health plans;Health care costs;Health ...- 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