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Provider Contracting Issues and Trends
Provider Contracting Issues and Trends Panelists discuss current issues and trends impacting health plan contracting with providers. Hospital and physician contracting is discussed from both a ...- Authors: Frederick L Davis, Thomas Snook, John Limm, Susan Pantely
- Date: May 2004
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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The Real Costs of Behavioral Health-Care Benefits
The Real Costs of Behavioral Health-Care Benefits This session summarizes recent trends in behavioral health parity, pros and cons of parity, the impact of mandated benefits on near-term medical ...- Authors: Stephen P Melek, Paul J Floyd, Marc Lambright, Ted Wirecki
- Date: May 2004
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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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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HMO's
HMO's This session is about structuring an HMO, rating, financing & solvency and underwriting. From Record of Society of Actuaries 1979 Vol. 5, No. 4. Health maintenance organization=HMO ...- Authors: Robert Dobson, Peter L Hutchings, Allen Sorbo
- Date: Oct 1979
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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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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Integrative Medicine
Integrative Medicine Presenter discusses the results published in Dr. David Eisenberg's paper entitled, Integrative Medicine, and offers an update on the data collection effort of the SOA ...- Authors: Stephen Rosenberg
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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The Health-Care Financing Crisis
The Health-Care Financing Crisis This session discusses affordable health care including cost drivers, trends, the uninsured, federal funding and state initiatives. From the Record of the ...- Authors: Mark E Litow, Valerie Lendt, John Rink, Kathy Thomas
- Date: Jun 2003
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Public Policy
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Health Care Cost Trends
Health Care Cost Trends Panelists discuss the current trend environment and estimating future trend. From the Record of the SOA, Vol. 29, No. 2, Session 52 Health care costs;Managed care; 18412 6 ...- Authors: Charles S Fuhrer, Peter Reilly, Lisa Tourville, Brian Small
- Date: Jun 2003
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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A Predictive Modeling Primer
A Predictive Modeling Primer This session from the 2003 SOA Orlando Meeting presents various predictive models, evaluation methodologies, control groups, current and potential uses for predictive ...- Authors: John Stark, Michael Cousins
- Date: Oct 2003
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Mitigating Future Health Care Cost Trends
Mitigating Future Health Care Cost Trends Panelists discuss opportunities to improve medical cost trends through underwriting, healthcare benefit designs, contracting, network management, claims ...- Authors: Lisa Tourville, Sunit Patel, Scott E Guillemette, Jeff Levin-Scherz
- Date: Jun 2005
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care