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Utilization Review Issues
Meeting. This discussion looks at how a managed care plan can know whether it is doing a good job on ... prevent under-utilization. Chronic illness management;Claims review;Managed care;Preventive care;Risk metrics; ...- Authors: Wesley S Carver, Robert Dobson, Brent Greenwood, Zoe M McCarthy
- Date: Jun 1996
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Group Medical Pricing Trend
Group Medical Pricing Trend This paper ... provides an outline of the pricing methodology used by Blue Cross and Blue Shield of Virginia which incorporates ...- Authors: Wesley S Carver, David A Shea
- Date: Jan 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Health & Disability>Health insurance; Modeling & Statistical Methods