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  • An Overview of Health Issues and Recent Developments for the Non-Health Actuary
    session discussed about expected trends in medical care costs, changes in Medicare reimbursement practices ... responsibility for providing long-term care, rise of managed health care, new and old participants, selection ...

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    • Authors: Phyllis Doran, Roland E King, Charles Larimer, Joseph W Moran, John K Ninomiya
    • Date: Apr 1986
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation; Strategic Insight and Integration>Strategy development
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health care; Long-term Care>Long-term care insurance; Public Policy; Social Insurance>Medicare
  • Medicare/Medicaid Risk Contracting - Profitability
    For example, in some rural areas the standard of care means driving Medicare/Medicaid Risk Contracting—Profitability ... fund an HMO-style program with reasonable access to care. Similarly, we know that in some parts of the country ...

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    • Authors: John Heins, John K Ninomiya, Steven J Sherman, Jon R Gabel, William J Klunk
    • Date: Jun 1996
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicaid; Social Insurance>Medicare