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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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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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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 ...- 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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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 ...- 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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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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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 ...- 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
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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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Line-of-Business Management for Long-Term-Care Insurance
Line-of-Business Management for Long-Term-Care Insurance Panelists discuss the characteristics of and ... impediments associated with effective management of the long term care insurance market, particularly as ...- Authors: Robert Yee, Andrew Herman, Deborah A Grant, Craig Shigeno
- 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>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Demography>Longevity; Experience Studies & Data>Long-term care - Experience Studies & Data; Long-term Care; Long-term Care>Long-term care insurance
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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 ...- 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
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Hot Topics in Group Short-Term Disability Income
discuss trends for the group short-term disability STD industry, as well as issues of timely relevance ... relevance to group STD actuaries. From the Record of the Society of Actuaries, Vol. 24, No. 2. Antiselection;Claims ...- Authors: Raymond Siwek, David S Mogul, Andre Baillargeon
- Date: Jun 1998
- 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: Experience Studies & Data>Disability; Health & Disability>Disability insurance; Health & Disability>Disability tables