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  • Medicaid Risk Contracting
    Medicaid Risk Contracting This ... 4b. Health care costs;Health economics;Health maintenance organization=HMO ;Long-term care=LTC;Managed ... care=LTC;Managed care;Medicaid; 17117 10/1/1995 12:00:00 AM ...

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    • Authors: Application Administrator, Roland E King, James N Roberts, John Stark, Robert Cumming
    • Date: Oct 1995
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability
  • Group Dental
    dental coverage, issues in benefit design, managed care [dental HMO & PPO] and market trends. From ... 19, No. 1B. Group health plans;Health care costs;Managed care; 16706 4/1/1993 12:00:00 AM ...

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    • Authors: Kenneth E Bernardi, Edward P Kiernan, Jerome Seaman, Robert Cumming, Jeremy Conaway
    • Date: Apr 1993
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Health Organization Risk-Based Capital, HORBC
    organizations with focus on a new formula for managed care organizations and companies. Group health plans;Health ... organization=HMO ;Individual health plans;Managed care;National Association of Insurance Commissioners=NAIC;Risk-based ...

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    • Authors: Burton Jay, Darrell Knapp, Robert Cumming
    • Date: Sep 1998
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Financial Reporting & Accounting>Statutory accounting
  • Gross Premium Valuations
    Gross Premium Valuations 1998 Valuation Actuary Symposium. ... The speakers presented a case study on long-term-care gross premium valuations, GPV from an individual ...

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    • Authors: Peggy Hauser, Robert Cumming, Ross Bagshaw
    • Date: Jan 1998
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance; Long-term Care>Long-term care insurance; Reinsurance>Long-term care reinsurance
  • Individual Medical - State Regulatory Issues
    Individual Medical - State Regulatory Issues This session is about individual medical and ... of Society of Actuaries Vol. 19, No. 4B. Health care reform;Individual health plans;Loss ratio=LR;National ...

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    • Authors: Application Administrator, William J Bugg, Morton B Hess, Robert Cumming
    • Date: Oct 1993
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Risk-Based Capital-An Update
    Risk-Based Capital-An Update At the beginning of 1999, a new model regulation is expected to be ... and will regulate risk-based capital for managed care organizations. Panelists describe the regulation ...

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    • Authors: Burton Jay, Robert Cumming, Donna C Novak, Peter Lynn Perkins
    • Date: Oct 1998
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability
  • Predictive Modeling
    to identify potential high-cost patients to direct into care or disease management programs. Finally ... the purpose behind those models is generally for care management or case management. I will finish ...

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    • Authors: Ian G Duncan, Mark D Wernicke, Robert Cumming, Elizabeth Lewis
    • Date: Jun 2002
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Using Prescription Drug Data For Risk Adjustment And Underwriting/Rating
    Also, our company in Boston has collaboration with Care Group Provider Service Network, which is the Beth ... how you can use pharmacy data to predict health care cost. First, we'll talk about the strengths ...

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    • Authors: J Franklin Rose, Robert Cumming, Arlene S Ash
    • Date: Oct 2001
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods