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  • Group Medical Pricing Trend
    Group Medical Pricing Trend This paper provides an outline of the pricing methodology used by Blue Cross ... measured by: I,D ~ay#JO00 (Hosp IP] OP vtr~¢/lO00 17"1o~ OP] l~tc r~t t /m.~twd IDrw~Cara] 7; v ...

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    • Authors: Wesley S Carver, David A Shea
    • Date: Jan 1993
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Actuarial Research Clearing House
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods
  • Utilization Review Issues
    Utilization Review Issues Presented at June 1996 Spring Meeting. This discussion looks at how a managed ... 1,000 Admissions per 1,000 ALOS (Days) Medical 4% 17% 11% Surgical 3 11 10 Maternity 0 9 8 Mental ...

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    • Authors: Wesley S Carver, Robert Dobson, Brent Greenwood, Zoe M McCarthy
    • Date: Jun 1996
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance