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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 Insurance from a Non-Actuary's Viewpoint
Health Insurance from a Non-Actuary's Viewpoint This session discussion is about outside actuarial profession's perspective on health care cost, insurer's role in medical care ...- Authors: Norman E Hill, Peter LePort, William Carter Henning, Harold C Yancy
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Change the Expectations in Health Care
Change the Expectations in Health Care Essay stating accessibility, affordability and efficiency are the key to success in the future of healthcare. Health economics;Health insurance;Inflation; ...- Authors: Jonathan L Shreve
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge; Leadership>Influence
- Topics: Economics; Economics>Health economics; Finance & Investments; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare
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Managed Care Update
Managed Care Update An update on HMO market trends and reinsurance products, and services supporting them. Inflation;Medicaid;Medicare;Underwriting;Mergers & ...- Authors: Mark Troutman
- Date: May 2006
- Competency: External Forces & Industry Knowledge; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
- Publication Name: Reinsurance News
- Topics: Economics>Health economics; Health & Disability>Health insurance; Reinsurance>Health reinsurance; Reinsurance>Product development - Reinsurance
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To Be Continued - An Overview Of The Health Care Delivery System
To Be Continued - An Overview Of The Health Care Delivery System This article presents a view of health care as an economic system, suggests a framework for classifying current criticisms of the ...- Authors: Frank E Finkenberg
- Date: Feb 1978
- Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Academic partnerships; Economics>Health economics; Health & Disability>Health insurance; Social Insurance>Government-funded healthcare
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Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level
Use of Treatment Protocols to Manage Hospital Utilization at the Insurance Payer Level Presenters discuss the differences between patient treatment protocols and length-of-stay guidelines, and ...- Authors: Donna Kalin, Deborah Loveland, William E Mabe
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance
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Defining Best-In-Market Health Opportunities
Defining Best-In-Market Health Opportunities Panelists discuss employers' perspective of defining strategies to identify best-in-market opportunities. From the Record of the Society of ...- Authors: Dale Yamamoto, Mindy S Kairey
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
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Health Insurance Portability and Accountability Act - One Year Later
Health Insurance Portability and Accountability Act - One Year Later Panelists discuss the ongoing influence and long-term implications of the Health Insurance Portability and Accountability Act ...- Authors: Cecil Bykerk, Donna C Novak, Julie Walton
- Date: Oct 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy
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Twenty-Four-Hour Health Coverage
Twenty-Four-Hour Health Coverage This session is about regulatory constraints and the role the NAIC is playing to help facilitate 24-hour programs, plan design issues, the use of managed care, ...- Authors: James E Drennan, Godfrey Perrott, Eric C Nordman
- Date: Oct 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: Economics>Health economics; Health & Disability>Disability insurance; Health & Disability>Health insurance; Public Policy; Reinsurance>Product development - Reinsurance
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Rationing Health Care
Rationing Health Care This session is about rationing health care. From Record of Society of Actuaries Vol. 18, No. 4A. Budgets;Government-funded healthcare;Health care costs;Health care ...- Authors: Gregory Benesh, Howard Kurpit, Janet Carstens, Martin Gaynor, John B Crosby
- Date: Oct 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Ethical standards; Professional Values>Public interest representation
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Public Policy; Public Policy; Social Insurance>Medicaid