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  • The Business of Medicine 101
    uncompesated care, impact of Medicare/Medicaid, expenses, scheduling and relationships with managed care organizations ... organizations. Corporate governance;Health care costs;Managed care;Medical expenses;Mergers & acquisitions=M&A; ...

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    • Authors: James N Roberts, Jeffrey P Winter, Joseph O'Hehir
    • Date: May 1997
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability
  • Medicaid Risk Contracting
    Medicaid Risk Contracting This ... 4b. Health care costs;Health economics;Health maintenance organization=HMO ;Long-term care=LTC;Managed ... care=LTC;Managed care;Medicaid; 17117 10/1/1995 12:00:00 AM ...

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    • Authors: Application Administrator, Roland E King, James N Roberts, John Stark, Robert Cumming
    • Date: Oct 1995
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability
  • Risk Adjusters: An Update
    Risk Adjusters: An Update This session from the 1995 SOA Boston Meeting presents the results ... in health care assessment and discusses the potential use of risk adjusters in health care reform efforts ...

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    • Authors: James N Roberts, Alice Rosenblatt, Gary Koscielny, Daniel Dunn
    • Date: Oct 1995
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Medicaid Reform: Block Grants and More
    Medicaid Reform: Block Grants and More This presentation from Session 116PD of the SOA 1996 Orlando ... 22, No. 3. Health care quality;Health maintenance organization=HMO ;Managed care; 17258 10/1/1996 ...

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    • Authors: James N Roberts, Patricia MacTaggart, Eugene A Grasser
    • Date: Oct 1996
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicaid
  • Risk-Based Capital
    Risk-Based Capital 1993 SOA Spring Meeting, San Diego. This session is about risk-based capital, ... bill on RBC that the NAIC has proposed. Health care reform;Health maintenance organization=HMO ;Marketing ...

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    • Authors: Darrell Knapp, Karl Madrecki, James N Roberts
    • Date: Apr 1993
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Financial Reporting & Accounting>Statutory accounting
  • Financial Reporting Issues Related To Health Insurance
    through some administrator, through a TPA, through direct submission by policyholders to your claim office ... or a statement from the primary carrier, you need a hint of whether the primary carrier is experiencing ...

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    • Authors: Phyllis Doran, Paul R Fleischacker, Darrell Knapp, Joseph Michalcik, James N Roberts
    • Date: Apr 1985
    • 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: Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance
  • Health Valuation Actuary
    medium size medical groups of all types, from primary care to multispecialty, and all sizes with ranges ... regulations. When you are capitating a small primary care group that is referring out two-thirds of the ...

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    • Authors: Shu-Yen Liu, Joseph Michalcik, James N Roberts, Allen Sorbo
    • Date: Jun 1991
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Actuarial Profession>Standards of practice; Health & Disability>Health insurance