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Session 095: Drug Claim Management - Lessons from Canada
Session 095: Drug Claim Management - Lessons from Canada The presenters will focus on ... insights, but is useful for practitioners in the U.S. and elsewhere, as well. Health & Disability, Prescription ...- Authors: Daniel Berty, Martin Chung, Erin Crump, Ned Pojskic
- Date: Feb 2020
- Competency: Results-Oriented Solutions
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Payment models
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New Strategies is Disease and Utilization Management
Systems in Santa Ana, CA. Note: The chart(s) referred to in the text can be found at the end of ... disease management as described by David. Prior to 2000, PacifiCare was not very active in case-based disease ...- Authors: Scott E Guillemette, David Kaplan, Gordon Norman, Ron Geraty
- Date: Jun 2002
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Chronic health management - Health & Disability
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Financing Chronic Care Seminar: The Costs of Chronic vs. Acute Conditions
Conditions Track: Health Moderator: CHARLES S. FUHRER Panelists: MICHAEL COUSINS† IAN G. ... chronic illnesses? What is the impact of the aging U.S. population on the chronic and/or expensive conditions ...- Authors: Ian G Duncan, Charles S Fuhrer, Michael Cousins, Jaan Sidorov, Iver Juster, Nancy A Garrett
- Date: Jun 2005
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Chronic health management - Health & Disability
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Lifestyles and Health Costs
Society of Actuaries Note: The chart(s) referred to in the text can be downloaded at: http://handouts ... back at the percentage of obesity between 1980 and 2000, each of these has increased during the past 20 ...- Authors: Daniel Plante, Geoffrey C Sandler, Chris E Stehno, L SS
- Date: Jun 2005
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Chronic health management - Health & Disability
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Financing Chronic Care Seminar: Specific Chronic Condition Studies and Models
for chronic illnesses, the impact of the aging U.S. population on the chronic and/or expensive conditions ... depression. It affects almost 10 percent of the U.S. population in any given year. Over a lifetime, ...- Authors: Stephen P Melek, Marjorie Rosenberg, Robert D Lieberthal, Karen A. Fitzner, Iver Juster
- Date: Jun 2005
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Chronic health management - Health & Disability
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Session 153: Beyond Physical Health: The Impact of Mental Health and Social Determinants of Health
Session 153: Beyond Physical Health: The Impact of Mental Health and Social Determinants ... determinants of health in the management of a population's total health. We will explore how emerging sources ...- Authors: Jeremiah Reuter, David Byron
- Date: Feb 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health risks
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Measurement of ROI/Effectiveness of Medical Management Processes
patients with chronic illness—which ones work?” S. Weingarten, Henning, JM, Badamgarav, E, Knight, K ... to-face medical service on the outpatient side (Table 1). The second set of criteria is a broad definition ...- Authors: Ian G Duncan, Robert Parke, Jaan Sidorov
- Date: May 2004
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Chronic health management - Health & Disability
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Financing Chronic Care Seminar: Chronic vs. Acute Care, Introduction and Macro View
Public Health, Minneapolis, Minn. Note: The chart(s) referred to in the text can be downloaded at: http://handouts ... for chronic illnesses; the impact of the aging U.S. population on the chronic and/or expensive conditions ...- Authors: Steven Siegel, Reinhard Priester, Joel Shalowitz
- Date: Jun 2005
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Chronic health management - Health & Disability
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New Strategies in Disease and Utilization Management: Substituting Facts for Assumptions
Research, LLC in Loveland, Ohio. Note: The chart(s) referred to in the text can be found at the end of ... 2 4 6 8 10 12 14 16 18 1997 1998 1999 2000 2001 2002 2003 Source: Towers Perrin Health Care ...- Authors: Ian G Duncan, Alison Johnson, Thomas Wilson
- Date: Jun 2003
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Chronic health management - Health & Disability
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High Cost Claimants In Medical Benefit Plans
CLAIMANTS IN MEDICAL BENEFIT PLANS Moderator: KENNETH S. AVNER Panelists: LESLIE Iv[ ALEXANDRE* JOHN P. COOKSON ... claimants in a multiple choice environment? MR. KENNETH S. AVNER: When actuaries analyze the experience of medical ...- Authors: Kenneth S Avner, John Cookson, Steven Siegel, Leslie M Alexandre, Mary G Henderson
- Date: Oct 1989
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care