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  • Responsible Health Care Reform Part 3: Cost Control And Efficiency
    Responsible Health Care Reform Part 3: Cost Control And Efficiency This article discusses what actuaries ... actuaries see as ideal components of a health care reform package with an emphasis on cost control, efficiency ...

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    • Authors: Lawrence McCarthy, David M Tuomala
    • Date: Jun 2010
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: The Actuary Magazine
    • Topics: Public Policy; Public Policy; Health & Disability>Electronic medical record
  • 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
  • Advanced Commercial Pricing Boot Camp for Health Actuaries
    Advanced Commercial Pricing Boot Camp for Health Actuaries The recent changes and regulations ... to consider what was done prior to the Affordable Care Act (ACA) in recent years since the start of most ...

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    • Authors: Mary Kindel Van der Heijde
    • Date: Nov 2018
    • Competency: External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy
  • Value for Money from the Top 20? A Critical Examination of Therapeutic Impact and Value of Top-Selling Drug Products against their Competitors
    powerful forces act on the provision of health care in the modern world. The first is the evidence-based ... guidelines. Prescribing for hypertension in primary care clinics at an internal medicine referral clinic ...

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    • Authors: Alan Cassels
    • Date: May 2004
    • Competency: Communication>Persuasive communication; External Forces & Industry Knowledge>Internal forces and business performance; Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health care; 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