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Utilization Review And Quality Of Medical Care
Utilization Review And Quality Of Medical Care This session discussion legal liability for unfavorable medical outcomes, effect of utilization review on the quality of care and patient/provider ...- Authors: Application Administrator, Leonard Koloms, Michael F Anthony, Marsha Ladenburger, Arnold Milstein
- Date: Apr 1987
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care quality
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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 ...- 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
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Ethical Issues in Managed Care: Where Do We Draw the Line?
Ethical Issues in Managed Care: Where Do We Draw the Line? By rationing heath care resources, managed-care organizations have raised ethical and legal issues not commonly found under previous ...- Authors: Dennis Hulet, James Murphy, Timothy Flaherty
- Date: Oct 1997
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care quality
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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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Actuarial Aspects of Alternative Care
Actuarial Aspects of Alternative Care Presenter discusses issues related to alternative care, as well as SOA activity in regard to alternative care. From the Record of the Society of Actuaries, ...- Authors: Lee Eric Launer
- 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: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health care quality
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Health Care Reform Around the World
Health Care Reform Around the World Panelists discuss major reforms of health care financing and delivery systems around the world. From the Record of the Society of Actuaries, Vol. 24, No. 2.- Authors: Chiu-Cheng Chang, Lawrence Miike, Joshua Bank
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Public Policy
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Mental Health Insurance Parity
Mental Health Insurance Parity Presenter examines federal and state efforts at parity in the area of mental health insurance. From the Record of the Society of Actuaries, Vol. 24, No. 2.- Authors: Stephen P Melek
- Date: Jun 1998
- 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 care quality; Health & Disability>Health insurance
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The Future of Managed Care
The Future of Managed Care In this session, panelists present their views on the future of managed care in light of the current environment. From the Record of the Society of Actuaries, Volume ...- Authors: Application Administrator, Harry L Sutton, Dale Yamamoto
- Date: Jun 2003
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care quality
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Financial Measurement of Transplants
Financial Measurement of Transplants Panel discussion, by a physician and an actuary, about the historical forces behind various trends in organ transplant experience data. Health care ...- Authors: Richard Hauboldt, Harry L Sutton, Del Ohrt
- Date: Jun 1996
- Competency: Communication>Difficult message delivery; Professional Values>Ethical standards; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Best practices; Experience Studies & Data>Morbidity; Health & Disability>Health care quality; Modeling & Statistical Methods>Data mining
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Impact Of Medical Technology On Health Care Programs
Impact Of Medical Technology On Health Care Programs Presentation at October 1985 Annual Meeting. This session will discuss trends in medical technology as they affect health care benefits ...- Authors: John K Ahrens, William A Atchley, Robert W Morey, Mark Troutman
- Date: Oct 1985
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care quality; Health & Disability>Health insurance