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Editorial - Managed Care Creates Key Role For Actuaries
Editorial - Managed Care ... Examples are provided. From: The Actuary, April 2000 – volume 34 - Issue 4. Health care costs;Health ... costs;Health care quality;Managed care; 13635 4/1/2000 12:00:00 AM ...- Authors: Janet Carstens
- Date: Apr 2000
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance
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Medical Benefits For Large Groups
costing about $85 per dose. Both drugs reduce the mortality associated with heart attacks by about 25%. TPA ... Geographic adjustments can be illustrated by Table 1. For this example, we looked at the distribution ...- Authors: Ted Lyle, George Model, Edward J Wojcik, Janet Carstens
- Date: Oct 1988
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Core Benefit Plans
anything as organized as both sides sitting around a table discussing the issues. For the most par{, the negotiations ... employee's wage is between $21 ,O00 and 24,000. Table 1 is an illustration of how the premium would be ...- Authors: Richard Diamond, Janet Carstens, Paul T Shultz
- Date: Oct 1993
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Public Policy
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Health Rate Regulations, Group Medical - Under 25 Regulatory Issues
Aging Curve "Term" vs. "Whole Life" Approaches U. ' iiiio._Eo 1.0 ,'_ o 12 24 DurationSince Issue ... House Ways & Means Subcommittee on Health in 1992. Table 1 shows the effect on rerating of switching immediately ...- Authors: John Lloyd, Harry L Sutton, Gary Travnicek, Janet Carstens
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Paying the Doctors Bills - How Can It Be Done?
adjusted by applyinga usualand customary (U&C) fee maximum, but with U&C maximums the physicianhas the opportunity ... practices, and compared them. These are summarized in Table 1. These ratios included both fee-for-service expenses ...- Authors: Nancy F Nelson, Janet Carstens, Scott E Guillemette
- Date: Jun 1994
- Competency: Results-Oriented Solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Small-Group Reform
consumer activists, and others to come to the table and discuss incremental steps that can be made to ... year are very much reduced. The Democrats in the U.S. Senate believe they have more incumbentswho are ...- Authors: Ted Lyle, Jim H Srite, William J Thompson, Janet Carstens, James T Parker, John P Galles
- Date: Apr 1993
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Public Policy
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Aftermath of 9/11: The Effect on Group Life & Health Carriers
DANIEL L. WOLAK Panelists: JANET M. CARSTENS DALE S. HAGSTROM GEOFFREY C. SANDLER Summary: Panelists ... clients? What would be a quick synopsis? MR. DALE S. HAGSTROM: A brief version is that I happened to be ...- Authors: Dale Hagstrom, Geoffrey C Sandler, Daniel Wolak, Janet Carstens
- Date: Oct 2002
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Life Insurance
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Health Care Inflation
conducted by the Office of the Inspector General of the U.S. Department of Health and Human Services. This report ... to be high utilizers of those services. MR. DAVID S. HELWIG: I have a question for Mr. Kovener regarding ...- Authors: John D Bohon, Charles DeWeese, Alice Rosenblatt, Janet Carstens, Ronald R Kovener
- Date: Apr 1988
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Editorial - Will Managed Care Become Unmanaged Care?
Editorial - Will Managed Care Become Unmanaged Care? This editorial reviews the benefits of managed ... Selig Ehrlich, FSA sehrlich@travelers.com Craig S. Kalman, ASA craig@kalman.net Puzzle Editors Louise ...- Authors: Janet Carstens
- Date: Apr 1999
- Competency: External Forces & Industry Knowledge
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance
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Strategic Response to Medical Inflationary Factors
terminology (CPT) codes. In this simple example (Table 1), we're taking the counts and dividing it by ... age/sex adjusted. 10 RECORD, Volume 23 TABLE 1 UTILIZATION TREND—SERVICE MIX CHANGES Cpt Code ...- Authors: Kevin Dolsky, Janet Carstens, Scott E Guillemette
- Date: May 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance