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  • Open Ended Managed Care Plans
    Managed Care Plans This session at a SOA 1990 Spring Meeting is about open ended managed care plans from ... actuarial issues. Health care costs;Health maintenance organization=HMO ;Managed care;Marketing and distribution;Medical ...

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    • Authors: Application Administrator, Gregory N Herrle, Mary Brainerd, Ted Wise
    • Date: Apr 1990
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Session 091: Medicaid Margin Assumptions - Opening the Black Box
    Medicaid managed care organizations (MCOs). In this session, we will discuss the primary components of the ... assumptions in the public for the first time. Managed Care; health risks; Medicaid; Risk Measurement; Cost ...

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    • Authors: Sabrina Gibson, Michelle L Raleigh, James Randolph Piekut, Jaredd Martin Keith Simons
    • Date: May 2019
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Forecasting
  • Individual Accident and Health Rate Regulation Issues
    Individual Accident and Health Rate Regulation Issues This 1981 session dealt with individual ... included the history of regulations and their primary purpose or need. From Record of Society of Actuaries ...

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    • Authors: Application Administrator, Roger C Day, Robert Shapland
    • Date: May 1981
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Why Is Long-Term-Care Pricing Different From Any Other Pricing?
    Why Is Long-Term-Care Pricing Different From Any Other Pricing? Panelists at this session of the SOA ... long-term care [LTC]. Demographics;Disability insurance;Health care costs;Home health care;Lapse rates=Lapses;Life ...

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    • Authors: Jeffrey Drake, Abraham Gootzeit, Arthur J Verney, Ronald M Wolf
    • Date: Oct 2001
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics
    Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics The presenters will ...

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    • Authors: Kwame Smart, Mark Russell, Steve Richardson
    • Date: Feb 2020
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Payment models
  • Availability of Utilization and Cost Experience Data for Group Medical Care Insurance Coverages
    Utilization and Cost Experience Data for Group Medical Care Insurance Coverages This discussion is on the availability ... utilization and cost experience data for group medical care insurance coverages. Specifically, it highlights ...

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    • Authors: John Mahder, Harry L Sutton, Peter Thexton, Edward J Wojcik
    • Date: Oct 1981
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Experience Studies & Data; Health & Disability>Health insurance
  • Provider Risk Sharing Boot Camp for Health Actuaries
    closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... 1111 Provider Risk Spectrum Fee For Service Care Coordination Payments Performance- Based Contract ...

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    • Authors: Colleen Audrey Norris
    • Date: Nov 2018
    • Competency: External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
  • Session 85PD: MACRA implications on Medicare Supplement
    Session 85PD: MACRA implications on Medicare Supplement Recently passed legislation referred ... impact is that Plan G will replace Plan F as the primary offering in the market. Not so obvious is that ...

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    • Authors: Kenneth Clark, Robert Himmelstein, Traci Leigh Hughes
    • Date: May 2018
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health insurance
  • Managing the Bottom Line - Group Excluding Multiple Employer Trusts, METs
    Managing the Bottom Line - Group Excluding Multiple Employer Trusts, METs This session ... plans;Health care costs;Health maintenance organization=HMO ;Health reserves;Managed care;Medical expenses;Preferred ...

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    • Authors: James E Drennan, Charles S Fuhrer, Timothy Lee
    • Date: Apr 1990
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • The Health Valuation Actuary
    individual medical - including disability and long-term care. From Record of Society of Actuaries Vol. 16, No ... ;Health reserves;Individual health plans;Long-term care insurance=LTCI;National Association of Insurance ...

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    • Authors: Darrell Knapp, Robert Laux, Thomas J Stoiber, Norman J Zwitter, Alan R Holcomb
    • Date: Oct 1990
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Disability insurance; Health & Disability>Health insurance