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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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A Look At Community Rating
A Look At Community Rating Article is about community rating and risk adjustment including possible disadvantages for healthy experience-rated or self-insured groups. Rate regulation;Risk ...- Authors: Alice Rosenblatt
- Date: Jun 1993
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health care
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Aging Curves for Health Care Costs in Retirement
Aging Curves for Health Care Costs in Retirement This study was sponsored by the Society of Actuaries Health Section. This paper explores the relative significance of aging as a determinant of ...- Authors: Jeffrey Petertil
- Date: Aug 2003
- Competency: External Forces & Industry Knowledge; External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
- Topics: Health & Disability>Health care; Public Policy; Social Insurance>Medicare
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Consumer-Driven Health Care
Consumer-Driven Health Care Implications of Consumer-Driven Health Care to consumers, employers and providers Issue No. 37. Consumer-driven health plans=CDHP; 9349 4/1/2000 12:00:00 AM ...- Authors: Stacey Muller
- Date: Apr 2000
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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A Serious Question
A Serious Question The author discusses the Genetic Information Nondiscrimination Act of 2008 GINA and its ultimate effect on the long-term care industry in general, and on current and future ...- Authors: Bruce Stahl
- Date: May 2011
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Influence
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Long-term Care
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Responsible Health Care Reform Part 2: Access to Care
Responsible Health Care Reform Part 2: Access to Care Feature article discussing pending health care reform and the issue of access to care. From The Actuary Magazine, April/May 2010 Vol 7 Issue ...- Authors: Lawrence McCarthy, Barbara Niehus
- Date: Apr 2010
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health care; Public Policy
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Dental Diagnosis Coding: The State of the Art
Dental Diagnosis Coding: The State of the Art Diagnostic coding in dental is in its infancy. This article explores the use of medical diagnostic coding and how it may transform dental care in ...- Authors: Joanne E Fontana
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Health Care Financing Systems Around the World
Health Care Financing Systems Around the World Presenter describes many of the desirable characteristics of a health care financing system, and alternative health care financing systems as they ...- Authors: Chiu-Cheng Chang
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; 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: Economics>Health economics; Global Perspectives; Health & Disability>Health care; Health & Disability>Payment models; Public Policy
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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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FEDERAL HEALTH CARE REFORM 2009: START-UP CAPITAL COSTS FOR HEALTH CARE CO-OPS AND A PUBLIC PLAN
FEDERAL HEALTH CARE REFORM 2009: START-UP CAPITAL COSTS FOR HEALTH CARE CO-OPS AND A PUBLIC PLAN Projecting start-up capital requirements for Health care co-ops and public plans ...- Authors: Ian G Duncan, James Galasso, James A Geyer, Jay C Ripps, Cabe Chadick, Karl Lewis, Sara Teppema, Shari Westerfield
- Date: Oct 2009
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Public Policy; Social Insurance>Government-funded healthcare