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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 ...

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    • 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
  • Trends in Large Health Claims
    Trends in Large Health Claims Panel discusses trends in large health claims, recent experience, and future expectations, as well as the impact of managed care on large individual health claims ...

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    • Authors: David E Olsho, Anthony Wittmann, Daniel Wolak, Larry Jackson
    • Date: Jun 1999
    • 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: Health & Disability>Health insurance; Health & Disability>Health risks
  • Integrating Cost, Efficiency and Quality Data into Provider Reimbursement
    Integrating Cost, Efficiency and Quality Data into Provider Reimbursement The measure of a health-care provider's quality and efficiency can be used to reward or penalize the provider ...

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    • Authors: Ralph D Alexander, John Cookson
    • Date: Jun 2002
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Report Of The Committee For Accident And Health Valuation Principles
    Report Of The Committee For Accident And Health Valuation Principles This is a panel discussion session on the purpose, rationale and conclusions of the Committee for Accident and Health ...

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    • Authors: E Paul Barnhart, Anthony J Houghton, Spencer Koppel, Francis T O'Grady, Robert Shapland
    • Date: Oct 1982
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance
  • Medicare + Choices: Impact of Self-Selection
    Medicare + Choices: Impact of Self-Selection Panelists discuss different aspects of self-selection among Medicare options. From the Record of the Society of Actuaries, Vol. 24, No. 2. Budgets; ...

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    • Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
  • Profiling Physician Performance
    Profiling Physician Performance Panelists discuss the methods HMOs employ to measure their providers' quality of care, outcomes, compliance with best practice guidelines, and cost ...

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    • Authors: Joel C Hoffman, David Josephson, David Terry, John C Vataha, Kelly Myers
    • Date: Jun 1999
    • 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: Actuarial Profession>Ethics; Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality; Modeling & Statistical Methods>Regression analysis; Modeling & Statistical Methods>Simulation
  • New Paradigms of Provider and Network Management
    New Paradigms of Provider and Network Management Experts discuss new strategies related to provider contracting and network management. Topics include various reimbursement approaches and ...

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    • Authors: Dennis Hulet, Jay C Ripps, Thomas Snook, John M Wray
    • Date: Jun 2002
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Individual Disability Income-Valuation and Tax Issues
    Individual Disability Income-Valuation and Tax Issues This presentation is a panel discussion from the 1991 Meeting of the Society of Actuaries, held June 3-5 in Colorado Springs. The panelists ...

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    • Authors: Judith Justin, Donald C Straffin, William J Thompson, Mona J Wasserman
    • Date: Jun 1991
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Disability insurance
  • Effective Managed Care Design
    Effective Managed Care Design Panelists discuss the various managed-care alternatives as well as ways to evaluate their effectiveness. From the 1988 Record of Society of Actuaries, Vol. 14, No.

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    • Authors: Howard Atkinson, Marianne Brackey, Jean M Wodarczyk
    • Date: Oct 1988
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Risk-Based Capital for Health Organizations
    Risk-Based Capital for Health Organizations Panelists report on the status of activities by national associations in regard to risk-based capital requirements for health insurers. From the ...

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    • Authors: Julia T Philips, Donna C Novak, Steven Wander
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Health insurance; Health & Disability>Health risks