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Risk-Based Capital for Health Organizations
Risk-Based Capital for Health Organizations Panelists report on the status of activities by national associations ...- 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
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Health Care Debate-My Way or the Wrong Way
Health Partnerswas formed throughthe merger of Group Health and MedCenters HMOs in 1992. Health Partners ... of the Group Health Associationof America and has been active in the developmentof the Group Health Associationof ...- Authors: Nancy F Nelson, J Patrick Rooney, Steven Wander, Jan Malcolm
- Date: Jun 1994
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy
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Health Provider Excess Stop-Loss Issues
Michelle was an underwriter of employer stop-loss and group medical coverages at Fortis. Michelle also worked ... an individual practice association, or a medical group, and they’re accepting capitation from several sources ...- Authors: Steven Wander, Michelle Fallahi
- Date: May 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Point-of-Service Plans - Where are We Now?
and real, of allbenefits, including family-life or work-life issues. I believe it is important from our ... most cases. The other end of the spectrum is a group or staff model HMO where the HMO actually hires ...- Authors: Edward Cymerys, Andrew H Hiles, Steven Wander, Dennis Lee
- Date: Apr 1993
- Competency: Results-Oriented Solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Creative Provider Reimbursement Approaches
walk through its application to a primary care group. I'm not sure if this focus or this presentation ... affected by referrals and generally in a physician group, the provider can refuse a patient, which is not ...- Authors: Sunit Patel, Steven Wander, Scott E Guillemette, Susan Pantely
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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The New RBC Formula For Managed Care Organizations
“NAIC Risk- Based Capital for Life and/or Health Insurers Model Act” (the life/health formula), which is ... the same as the NAIC life/health formula. The main difference is that in the life/health formula, the ...- Authors: Steven Wander
- Date: Nov 1997
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health risks