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Stormy Weather
Stormy Weather A discussion of fraud and abuse in the Medicare payment system, and steps to address these problems. Claims review;Personal health records;Privacy laws;Data quality; 25890 12/1/ ...- Authors: Brad S Linder
- Date: Dec 2010
- Competency: Professional Values>Ethical standards
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Payment models; Public Policy; Social Insurance>Medicare; Health & Disability>Electronic medical record
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Principles for U.S. Healthcare Reform
Principles for U.S. Healthcare Reform This paper offers basic, economic and actuarial ideas to improve the balance of cost, access to treatment and quality over time. Health care reform;Health ...- Authors: Richard Hauboldt, Mark E Litow, Allen J Schmitz
- Date: Jun 2009
- Competency: Leadership>Thought leadership
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
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Consistently Framing the Design and Analysis of Health Care Proposals
Consistently Framing the Design and Analysis of Health Care Proposals Essay recommending establishing a consistent and actuarially sound foundation for assessing the costs and benefits of each ...- Authors: Mark E Litow, Robert Shapiro
- Date: Jun 2009
- Competency: Leadership>Influence; Leadership>Thought leadership; Professional Values>Public interest representation
- Topics: Actuarial Profession>Ethics; Health & Disability>Health care; Social Insurance; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Social Security
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Change the Expectations in Health Care
Change the Expectations in Health Care Essay stating accessibility, affordability and efficiency are the key to success in the future of healthcare. Health economics;Health insurance;Inflation; ...- Authors: Jonathan L Shreve
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge; Leadership>Influence
- Topics: Economics; Economics>Health economics; Finance & Investments; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare
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Risk Adjustment Implementation Issues
Risk Adjustment Implementation Issues Risk adjusters were first used for the Y2K reimbursements to Medicare+Choice laws. How did plans fare? What was the financial impact to the Medicare program? ...- Authors: John Bertko, Craig Schmid, Mel Ingber
- Date: May 2000
- Competency: 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: Public Policy; Social Insurance>Medicare
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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 ...- 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
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HI Trust Fund: Actuarial Methodology and Principal Assumptions
HI Trust Fund: Actuarial Methodology and Principal Assumptions This section describes the basic methodology and assumptions used in the estimates for the HI trust fund under the intermediate ...- Authors: Society of Actuaries
- Date: Sep 2004
- Competency: External Forces & Industry Knowledge
- Publication Name: Pension Section News
- Topics: Social Insurance>Medicare
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Medicare Advantage risk scores – Are you competitive?
Medicare Advantage risk scores – Are you competitive? What you need to know about risk scores to be competitive in the Medicare Advantage market. Medicare;Risk adjustment;Health insurance;Return ...- Authors: Corey Berger
- Date: Oct 2018
- Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
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Medicare Advantage—Future Benchmarks
Medicare Advantage—Future Benchmarks This article discusses future benchmarks of Medicare and Medicare's rising costs and its relativity to the actuarial profession. Managed care;Payment ...- Authors: Application Administrator
- Date: May 2008
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicare
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Soundbites from the American Academy of Actuaries’ Health Practice Council
Soundbites from the American Academy of Actuaries’ Health Practice Council Updates on the efforts of the Academy’s health practice council. its work groups and task forces, to educate health care ...- Authors: Heather E Jerbi, Melissa Stevens
- Date: Sep 2009
- Competency: Communication>Written communication; Leadership>Influence; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability>Health risks; Public Policy; Public Policy; Social Insurance>Medicare