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  • Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does It?
    Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does ... describes enhanced primary care models and provides citations on whether or not health care savings have been ...

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    • Authors: Tia Sawhney, Bruce Pyenson
    • Date: Jan 2015
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health risks; Health & Disability>Payment models
  • Rationing Health Care
    Rationing Health Care This session is about rationing health care. From Record of Society of Actuaries ... Budgets;Government-funded healthcare;Health care costs;Health care quality;Health care reform;Health economics;Health ...

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    • Authors: Gregory Benesh, Howard Kurpit, Janet Carstens, Martin Gaynor, John B Crosby
    • Date: Oct 1992
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Ethical standards; Professional Values>Public interest representation
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Public Policy; Public Policy; Social Insurance>Medicaid
  • Managed-Care Risk-Sharing Arrangements
    Managed-Care Risk-Sharing Arrangements This session is about managed-care risk-sharing arrangements ... maintenance organization=HMO ;Health reinsurance;Managed care;Preferred provider organization=PPO; 16711 4/1/1993 ...

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    • Authors: John Fritz, Brent Greenwood, Harry L Sutton, Mitchell J Goodstein
    • Date: Apr 1993
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health risks
  • Yi-Ling Lin: SOA Predictive Analytics Program Prepares You for Health Care’s Future
    Predictive Analytics Program Prepares You for Health Care’s Future Yi-Ling Lin, FSA, MAAA, FCA, started the ... and predictive modeling is having on the health care industry predictive analytics certificate program ...

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    • Authors: Society of Actuaries
    • Date: Nov 2019
    • Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques; Predictive Analytics>Programming languages & tools; Health & Disability>Electronic medical record
  • Catastrophic Health Care Events: Implications for Pricing
    Catastrophic Health Care Events: Implications for Pricing Presented at October 2001 Annual Meeting. ... related to catastrophic health care events: • Trends in health care delivery and medical technology ...

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    • Authors: Michael McLean, Timothy Robinson, Harry Poteat, Chuck Becker
    • Date: Oct 2001
    • Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health risks
  • Medicaid Expansion under the Affordable Care Act
    Medicaid Expansion under the Affordable Care Act On January 1, 2014, many states will be enrolling newly ... the current Medicaid population. health care reform;health care costs;health risks;Medicaid 6442451564 ...

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    • Authors: Robert Damler
    • Date: Oct 2013
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Social Insurance>Medicaid
  • Equitable Discrimination and Long-Term Care Insurance
    Equitable Discrimination and Long-Term Care Insurance A dicussion of the Rate Classification Actuarial ...

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    • Authors: Bruce Stahl
    • Date: May 2009
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Ethical standards; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Long-Term Care News
    • Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Health & Disability>Health risks
  • New Managed Care Risk-Based Capital
    New Managed Care Risk-Based Capital Managed Care Risk-Based Capital new formula for HMOs and BCBS plans ... use of RBC Issue No. 37. Long-term care insurance=LTCI;Managed care;Risk-based capital=RBC;Stop-loss insurance; ...

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    • Authors: Donna C Novak
    • Date: Apr 2000
    • Competency: External Forces & Industry Knowledge>Internal forces and business performance
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks
  • Commercial Health Care: What’s Next?
    Commercial Health Care: What’s Next? This article contains a condensed summary and excerpt from the ... paper in the Commercial Health Care: What’s Next? series. health care reform;risk adjustment;health insurance;health ...

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    • Authors: David Dillon
    • Date: Feb 2018
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
  • The New RBC Formula For Managed Care Organizations
    Managed Care Organizations This article is illustrates the implications of the managed care organization ... The Actuary, Nov 1997, Vol. 31, Issue 9 Managed care;National Association of Insurance Commissioners=NAIC;Risk-based ...

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    • Authors: Steven Wander
    • Date: Nov 1997
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health risks