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  • Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
    Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck Panel discusses the effects ... reduced payment levels to many Medicare managed care organizations. From the Record of the Society of ...

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    • 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
  • Profiling Physician Performance
    employ to measure their providers' quality of care, outcomes, compliance with best practice guidelines ... Society of Actuaries, Vol. 25, No. 2. Health care costs;Health care quality;Health economics;Health insurance;Health ...

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    • 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
  • Pricing Issues Related to Supplemental Health Products
    review;Coinsurance;Credibility theory;Group health plans;Health care costs;Health insurance;Individual health plans;Loss ... distribution;Medical expenses;Persistency;Preventive care;Product development;Underwriting;Third party administration=Third ...

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    • 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
  • Let's Make a Deal: Life and Health Mergers and Acquisitions
    will be very common if you're writing long-term care insurance, and if you're writing disability insurance ... done differently for a medical care provider, whether it's a managed- care operation or a regular indemnity-type ...

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    • Authors: Charles Carroll, Herbert E Goodfriend, William R Horbatt
    • 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; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Finance & Investments>Economic value; Modeling & Statistical Methods>Asset modeling; Modeling & Statistical Methods>Estimation methods