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Risk-Based Capital for Health Organizations
health actuary for the Insurance Division of the U.S. Department of Commerce of Minnesota, St. Paul. ... factors in the PSO waiver with the MCO RBC (see Table 1 on page 5). As Julia mentioned, there are four ...- 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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Creative Provider Reimbursement Approaches
the more important issues or advantages (Table 1). TABLE 1 TRADITIONAL REIMBURSEMENT APPROACHES—FEE ... modified, which is one that uses a fee schedule (Table 2). There are a lot of the same advantages and ...- 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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Point-of-Service Plans - Where are We Now?
most of the major nationalcardershave come to the table willingto negotiatehold-harmless languagefor their ... front-end regardingimplementation. Aetna put on the table some fairly substantial financialpenalties if they ...- 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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Health Provider Excess Stop-Loss Issues
even 20 RECORD, Volume 23 at the negotiating table when half of it gets done. That's what I don't ... it's a control thing. If you were sitting at the table negotiating a capitation rate, that may be different ...- 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