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  • Alternative Provider Reimbursement Mechanisms
    reimbursement structures, from the facility/hospital perspective and the professional/doctor perspective ... risk-absorption methods. From the 1987 Record of Society of Actuaries, Vol. 13, No. 1. Medical expenses; 15948 ...

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    • Authors: Kenneth S Avner, Raymond Gladych, Harry L Sutton, Michael A Cadger, Marc S Engelhart
    • Date: Apr 1987
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Managed-Care Risk-Sharing Arrangements
    Managed-Care Risk-Sharing Arrangements This session is about managed-care risk-sharing arrangements. ... HMO provider risk contracting. From Record of Society of Actuaries Vol. 19, No. 1B Health maintenance ...

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    • Authors: John Fritz, Brent Greenwood, Harry L Sutton, Mitchell J Goodstein
    • Date: Apr 1993
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health risks
  • Industry Perspective Consumer Protection -Continuation of Benefits in Event of HMO Insolvency
    Protection -Continuation of Benefits in Event of HMO Insolvency Discussion of insolvency provision added ... added to reinsurance agreements to insure the continuation of benefits during HMO insolvency, Issue No ...

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    • Authors: Harry L Sutton
    • Date: Dec 2000
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance