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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 ...

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    • 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
  • 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 ...

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    • 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
  • Health Insurance from a Non-Actuary's Viewpoint
    perspective on health care cost, insurer's role in medical care management, relationships between treatment ... appropriate use of underwriting and paying for uncompensated care. From Record of Society of Actuaries Vol ...

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    • Authors: Norman E Hill, Peter LePort, William Carter Henning, Harold C Yancy
    • Date: Apr 1992
    • Competency: External Forces & Industry Knowledge>External forces and business performance; 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 insurance; Public Policy
  • Rationing Health Care
    is about rationing health care. From Record of Society of Actuaries Vol. 18, No. 4A. Budgets;Government-funded ... insurance;Health policy;Health risks;Medicaid;Medical expenses;Medicare;Evidence-based medicine; 16641 ...

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    • Authors: Gregory Benesh, Howard Kurpit, Janet Carstens, Martin Gaynor, John B Crosby
    • Date: Oct 1992
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Ethical standards; 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; Health & Disability>Health risks; Public Policy; Public Policy; Social Insurance>Medicaid
  • Twenty-Four-Hour Health Coverage
    constraints and the role the NAIC is playing to help facilitate 24-hour programs, plan design issues, the use of ... coverage as part of a workers' compensation plan versus coverage of health care outside of the workers' ...

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    • Authors: James E Drennan, Godfrey Perrott, Eric C Nordman
    • Date: Oct 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: Economics>Health economics; Health & Disability>Disability insurance; Health & Disability>Health insurance; Public Policy; Reinsurance>Product development - Reinsurance
  • Mental Health Insurance Parity
    Mental Health Insurance Parity Presenter examines federal and state efforts at parity in the ... efforts at parity in the area of mental health insurance. From the Record of the Society of Actuaries, Vol ...

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    • Authors: Stephen P Melek
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>External forces and business performance; 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; Health & Disability>Health insurance
  • Proposals for Health-Care Reform
    presented, one from the Blue Cross/Blue Shield Association and one from the Council for Affordable ... compared and open for critique. From Record of Society of Actuaries Vol. 18, No. 4A. Government-funded ...

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    • Authors: Gregory N Herrle, Greg Scandlen, Liz Conway
    • Date: Oct 1992
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health insurance; Public Policy; Public Policy
  • The Evolving Regulatory Environment for Health Care
    The Evolving Regulatory Environment for Health Care Panel discussion on how insurers can deal with the ... the proliferation of laws, court decisions and regulations, and on the outlook for future developments ...

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    • Authors: Harold I Cohen, Richard Minck, Daniel W Pettengill, Peter Thexton, Nathaniel Taft
    • Date: Oct 1977
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health insurance; Public Policy; Public Policy
  • 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 ...

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    • 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
  • 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 ...

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    • 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