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  • Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
    Use of Treatment Protocols to Manage Hospital Utilization at the Insurance ... records=EMR;Health care costs;Health economics;Health maintenance organization=HMO ;Hospitalization;Managed care;Marketing ...

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    • Authors: Donna Kalin, Deborah Loveland, William E Mabe
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance
  • Chairperson's Corner
    learn about the clinical matters underlying health care claims. The boot camps were a great success this ... increased educational focus on include: - The Affordable Care Act’s (ACA) impact on commercial pricing and reserving ...

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    • Authors: Donna Kalin
    • Date: Jan 2014
    • Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care