Announcement: SOA releases passing candidate numbers for May and June Exam FM.

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  • Ethical and Legal Considerations in Managed Care
    Considerations in Managed Care By rationing health care resources, managed care organizations have raised ... Health care costs;Health information technology;Health maintenance organization=HMO ;Managed care; 17402 ...

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    • Authors: Dennis Hulet, Gerald L Coe
    • Date: May 1997
    • Competency: External Forces & Industry Knowledge; Professional Values>Ethical standards
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability; Public Policy
  • Soundbites from the American Academy of Actuaries' Health Practice Council Activities
    forces, to educate health care policymakers on issues including health care reform, Medicare, loss ratios ... Cancer;Financial reporting;Health care quality;Long-term care=LTC;Loss ratio=LR;Medicaid;Medicare;Premiums;Risk ...

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    • Authors: Heather E Jerbi, Tim M Mahony
    • Date: May 2011
    • Competency: Communication>Written communication; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Health & Disability; Public Policy
  • Hot Topics - Health Related
    happenings in their field. These include HMOs and manged care, Congressional legislation initiatives, disability ... insurance;Health maintenance organization=HMO ;Managed care;Medicaid;Medicare;Mergers & acquisitions=M&A; ...

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    • Authors: John Bertko, Herbert A Fritch, John Fritz, Burton Jay, Ronald M Wolf
    • Date: Jun 1996
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability; Public Policy
  • A Plan for Cost Containment for Group Medical Expense Coverages
    covers the roles of insurers, employers, health care providers, and the government - and the manner in ... of Society of Actuaries, Vol. 3, No. 4. Health care costs;Health insurance;Wellness; 14929 10/1/1977 ...

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    • Authors: William C Hsiao, Alan M Thaler, Joseph M Rule, David M Kinzer
    • Date: Oct 1977
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability; Public Policy
  • Session 040: Viruses: An Actuarial Perspective on Public Health Risks
    Session 040: Viruses: An Actuarial Perspective on Public Health Risks HIV is still a big public ... preventive care covered without cost share, actuaries will need to estimate the impact on their care cost.

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    • Authors: Rebecca Owen, Sara Teppema, Ya-Lin Huang, Brian Schwartz
    • Date: Jan 2020
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability; Health & Disability>Health care; Public Policy
  • Industry Consolidation-Impact on Health Products
    Industry Consolidation-Impact on Health Products This session 110IF of the Las ... maintenance organization=HMO ;Health reinsurance;Managed care;Risk-based capital=RBC;Mergers & acquisitions=M&A; ...

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    • Authors: Craig M Baldwin, Mark E Litow, Harry L Sutton, Rick Hodgdon
    • Date: May 2000
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability; Public Policy
  • V74 – Public Health: More Important Now Than Ever
    V74 – Public Health: More Important Now Than Ever Public health is a rich and vast field that ... vast field that seeks to improve health and health care for all members of society. Actuaries can learn ...

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    • Authors: Society of Actuaries, John Mange, Sara Teppema, Jason McKinley, Lisa Macon Harrison
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Public Policy
  • The Uninsured
    The Uninsured The number of uninsured people in the United States has grown to over 40 million. ... 73PD of the New Orleans Annual Meeting. Health care costs;Medical demography;Prescription drug costs; ...

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    • Authors: David J Bahn, Harry L Sutton, Anthony Wittmann, Jeffrey D Fox
    • Date: Oct 2001
    • Competency: Professional Values>Public interest representation
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability; Public Policy
  • Session 020: Provider Reimbursement and Mental Health Parity
    closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... NQTLs directly relate to plan’s payments to health care providers: • Coding Edits • UCR Determination ...

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    • Authors: Kristi Bohn, Rebecca Owen, Irvin Muszynski
    • Date: Jan 2020
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability; Public Policy; Health & Disability>Provider networks
  • Session 169: Risk Adjustment in Medicaid: Recent Developments
    Consulting Group in 2012 • Principal in Denver Office – Primary focus on Government Programs with emphasis on ... allocate capitated payments between contracted managed care organizations Source: ResDAC Medicaid Risk Adjustment ...

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    • Authors: Edward M Mailander, Daniel Henry
    • Date: Feb 2020
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability; Health & Disability>Payment models; Public Policy; Public Policy