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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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Integrative Medicine
Integrative Medicine Presenter discusses the results published in Dr. David Eisenberg's paper entitled, Integrative Medicine, and offers an update on the data collection effort of the SOA ...- Authors: Stephen Rosenberg
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Provider Contracting Issues and Trends
Provider Contracting Issues and Trends Panelists discuss current issues and trends impacting health plan contracting with providers. Hospital and physician contracting is discussed from both a ...- Authors: Frederick L Davis, Thomas Snook, John Limm, Susan Pantely
- Date: May 2004
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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The Real Costs of Behavioral Health-Care Benefits
The Real Costs of Behavioral Health-Care Benefits This session summarizes recent trends in behavioral health parity, pros and cons of parity, the impact of mandated benefits on near-term medical ...- Authors: Stephen P Melek, Paul J Floyd, Marc Lambright, Ted Wirecki
- Date: May 2004
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Health Insurance from a Non-Actuary's Viewpoint
Health Insurance from a Non-Actuary's Viewpoint This session discussion is about outside actuarial profession's perspective on health care cost, insurer's role in medical care ...- Authors: Norman E Hill, Peter LePort, William Carter Henning, Harold C Yancy
- Date: Apr 1992
- 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 insurance; Public Policy
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HMO's
HMO's This session is about structuring an HMO, rating, financing & solvency and underwriting. From Record of Society of Actuaries 1979 Vol. 5, No. 4. Health maintenance organization=HMO ...- Authors: Robert Dobson, Peter L Hutchings, Allen Sorbo
- Date: Oct 1979
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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The U.S. Health Care System Before and Aer the Affordable Care Act: Better or Worse and What’s Next?
The U.S. Health Care System Before and Aer the Affordable Care Act: Better or Worse and What’s Next? The US healthcare system before and after Obamacare – better or worse and what's ...- Authors: Achim Dauser, Mengyuan Dai
- Date: Mar 2017
- Competency: Leadership>Influence; Strategic Insight and Integration>Big picture view
- Publication Name: Reinsurance News
- 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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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