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Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck Panel discusses the effects of reduced payment levels to many Medicare managed care organizations. From the Record of the ...- Authors: Oscar Lucas, Peggy Tyndall
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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Health Care Financing Systems Around the World
Health Care Financing Systems Around the World Presenter describes many of the desirable characteristics of a health care financing system, and alternative health care financing systems as they ...- Authors: Chiu-Cheng Chang
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Global Perspectives; Health & Disability>Health care; Health & Disability>Payment models; Public Policy
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Profiling Physician Performance
Profiling Physician Performance Panelists discuss the methods HMOs employ to measure their providers' quality of care, outcomes, compliance with best practice guidelines, and cost ...- Authors: Joel C Hoffman, David Josephson, David Terry, John C Vataha, Kelly Myers
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Ethics; Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Regression analysis; Modeling & Statistical Methods>Simulation
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Risk Adjustment Implementation Issues
Risk Adjustment Implementation Issues Risk adjusters were first used for the Y2K reimbursements to Medicare+Choice laws. How did plans fare? What was the financial impact to the Medicare program? ...- Authors: John Bertko, Craig Schmid, Mel Ingber
- Date: May 2000
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy; Social Insurance>Medicare
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Reinsurance Trends
Reinsurance Trends This 1981 session focused on Reinsurance Trends. Questions included: i. Why the recent movement from YRT to Coinsurance? 2. Should a company use a bulk or ...- Authors: Waid J Davidson, David Holland, William K Tyler, Melville J Young
- Date: Apr 1981
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Reinsurance; Reinsurance>Marketing and distribution - Reinsurance; Reinsurance>Pricing - Reinsurance
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Health Valuation Actuary Toolbox
Health Valuation Actuary Toolbox This session discussion is about tools, techniques, and methods used by the health valuation actuary HVA in dealing with business projections, cash-flow analysis, ...- Authors: Edgar Goral, Application Administrator, Julia T Philips, James N Roberts, Jerome Winkelstein
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Best practices; Finance & Investments>Investment policy; Finance & Investments>Investment strategy - Finance & Investments; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Disability insurance; Health & Disability>Health insurance
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Risk Theory Applications To Experience Rating Group Health Insurance
Risk Theory Applications To Experience Rating Group Health Insurance Presenter offers ways in which actuaries might set credibility levels to be used by underwriters to set group health insurance ...- Authors: Charles S Fuhrer
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession; Health & Disability>Health insurance; Modeling & Statistical Methods>Estimation methods
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Reinsurance Trends
Reinsurance Trends This 1981 session focused on Reinsurance Trends. Questions included: i. Why the recent movement from YRT to Coinsurance? 2. Should a company use a bulk or ...- Authors: Jay A Novik, Gerald J Rankin, Herman H Schmit, John E Tiller
- Date: May 1981
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Reinsurance; Reinsurance>Marketing and distribution - Reinsurance; Reinsurance>Pricing - Reinsurance
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Enterprise Risk Management Meets Unified Valuation System
Enterprise Risk Management Meets Unified Valuation System There appears to be many similarities between enterprise risk management techniques and the theory underlying the unified valuation ...- Authors: Max Rudolph, Francis Sabatini, Robert Wilcox
- Date: Sep 2000
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Professional development; Enterprise Risk Management>Financial management
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Health Insurance as a Political Issue
Health Insurance as a Political Issue This session is about the Health insurance has become an important issue in this year's presidential election campaign. What effect will this have on ...- Authors: Stephen D Brink, Harry L Sutton, Bruce Barlow, Mark S Mellman
- Date: Oct 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Public Policy; Public Policy; Social Insurance>Government-funded healthcare