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  • Trends in Large Health Claims
    of aging and age demographic changes here in the U.S. Our definition of large claims is claims in excess ... that were paid in 1997, 1998, 1999, and even into 2000. When we think of it that way, we realize that ...

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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
  • Risk-Based Capital for Health Organizations
    health actuary for the Insurance Division of the U.S. Department of Commerce of Minnesota, St. Paul. ... factors in the PSO waiver with the MCO RBC (see Table 1 on page 5). As Julia mentioned, there are four ...

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    • Authors: Julia T Philips, Donna C Novak, Steven Wander
    • 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: Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Health insurance; Health & Disability>Health risks
  • Managed-Care Risk-Sharing Arrangements
    is between three and six months after the fact. Table 1 is expected to give you an idea of a typical risk-sharing ... contingenciesof the nature of what I describedbefore. TABLE 1 Typical Risk-SharingArrangement Aggregate stop-loss(Reinsurer) ...

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    • Authors: John Fritz, Brent Greenwood, Harry L Sutton, Mitchell J Goodstein
    • Date: Apr 1993
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health risks