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  • Health Policy and Financing
    coverage, and financing of health care, as well as current health care reform proposals. From the Record ... Actuaries, Volume 30, No. 1, Session 47 Health care costs;Medicaid;Medicare;Prescription drug costs; ...

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    • Authors: Application Administrator, Grady Catterall, Sally T Burner, M Clemens, John Sheils
    • Date: May 2004
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; 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
  • 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
  • Individual Disability Income Problems
    of the early 1930s seems to indicate that the primary problem is claim durations. The stock market crash ... who say they are disabled. I believe that the primary reason why the private and public disability income ...

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    • Authors: Anthony J Houghton, William J Taylor, Martin L Zeffert, Benjamin J Jones
    • Date: Oct 1977
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Actuarial Profession>Best practices; Actuarial Profession>Professional associations; Economics>Health economics; Health & Disability>Disability insurance; Public Policy