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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
  • Pricing Issues Related to Supplemental Health Products
    accident and health coverages. From the Record of the Society of Actuaries, Vol. 25, No. 2. Accident ... plans;Loss ratio=LR;Marketing and distribution;Medical expenses;Persistency;Preventive care;Product d ...

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    • 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
  • Current Medicare Issues and How the American Academy of Actuaries Is Involved
    Issues and How the American Academy of Actuaries Is Involved The American Academy of Actuaries is engaged ... proactively examine the future status of the Medicare Program. This session presents the findings that have ...

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    • 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
  • 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
  • Health Insurance and the Valuation Actuary
    Health Insurance and the Valuation Actuary Panelists discuss the role of the valuation actuary in health ... health insurance. From the Record of the Society of Actuaries, Vol. 24, No. 2. Asset valuation;Cash ...

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    • Authors: Application Administrator, Michael Francescone, Frank E Knorr, Glenn A Giese
    • 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>Incorporate risk management
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Disability insurance; Health & Disability>Health care; Health & Disability>Health insurance; Long-term Care>Long-term care insurance
  • Health Valuation Actuary Toolbox
    is about tools, techniques, and methods used by the health valuation actuary HVA in dealing with business ... reinsurance and claim reserves. From Record of Society of Actuaries Vol. 18, No. 1A. Cash flow testing;Claims ...

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    • 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
  • 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
  • Managed Workers' Compensation/24-hour Health Care
    Managed Workers' Compensation/24-hour Health Care This session is about managed workers' ... and potential role of utilization review organizations. From Record of Society of Actuaries Vol. 19, ...

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    • Authors: Cecily A Gallagher, David Trindle, Ruth Estrich-Baldwin, Keith Bateman, James B Francis
    • Date: Apr 1993
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Social Insurance
  • Trends in Large Health Claims
    experience, and future expectations, as well as the impact of managed care on large individual health claims ... programs and under an HMO setting. From the Record of the Society of Actuaries, Vol. 25, No. 2. Antiselection;Claims ...

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    • 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