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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
  • Medicare Supplement Update
    Medicare Supplement Update Presented at October 2000 Annual Meeting. Discusses recent enrollment and cost trends and competitive dynamics with Medicare+Choice capitated plans. Expected future ...

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    • Authors: Michael S Abroe, Mark Bartorelli, Sally T Burner, Richard F Coyle
    • Date: Oct 2000
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Practice expertise
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare
  • Risk Theory Applications To Experience Rating Group Health Insurance
    Risk Theory Applications To Experience Rating Group Health Insurance Presenter offers ways in which actuaries might set credibility levels to be used by underwriters to set group health insurance ...

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    • Authors: Charles S Fuhrer
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Actuarial Profession; Health & Disability>Health insurance; Modeling & Statistical Methods>Estimation methods
  • 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
  • Health Valuation Actuary Toolbox
    Health Valuation Actuary Toolbox This session discussion is about tools, techniques, and methods used by the health valuation actuary HVA in dealing with business projections, cash-flow analysis, ...

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    • Authors: Edgar Goral, Application Administrator, Julia T Philips, James N Roberts, Jerome Winkelstein
    • Date: Apr 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: Actuarial Profession>Best practices; Finance & Investments>Investment policy; Finance & Investments>Investment strategy - Finance & Investments; Financial Reporting & Accounting>Statutory accounting; Health & Disability; Health & Disability>Disability insurance; Health & Disability>Health insurance
  • Managed Workers' Compensation/24-hour Health Care
    Managed Workers' Compensation/24-hour Health Care This session is about managed workers' compensation/24-hour health care current activities, legal considerations, casualty ...

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    • Authors: Cecily A Gallagher, David Trindle, Ruth Estrich-Baldwin, Keith Bateman, James B Francis
    • Date: Apr 1993
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Social Insurance
  • 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 ...

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    • 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
  • 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 ...

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    • 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
  • 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 ...

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    • 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