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  • Medicare Advantage: Seven Considerations to Achieve August Resubmission Success
    Medicare Advantage: Seven Considerations to Achieve August Resubmission Success Strategies ... reallocation;resubmission;Medicare;health insurance;individual health plans 6442479096 10/1/2017 12:00:00 ...

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    • Authors: Susan Silseth, Matthew Timm, Kelly Backes, Hillary Millican
    • Date: Oct 2017
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
    Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This ... Prescription Drug Plan (PDP) market to the commercial individual market exchanges included in the Affordable Care ...

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    • Authors: Shelly Brandel
    • Date: Jan 2013
    • Competency: Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
  • The Future of Health Care in the United States
    The Future of Health Care in the United States The essay discusses the appropriate role of insurance ... will pay to support the ongoing life of any one individual. Employee contributions;Funding policy;Leve ...

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    • Authors: Thomas Persichetti
    • Date: Jun 2009
    • Competency: Leadership>Influence; Strategic Insight and Integration>Big picture view
    • Topics: Economics; Health & Disability>Health care; Social Insurance>Medicaid; Social Insurance>Medicare
  • A Comparative Analysis of Claims-Based Tools for Health Risk Assessment - 3M Comments
    A Comparative Analysis of Claims-Based Tools for Health Risk Assessment - 3M Comments This ... various comparisons for both R2 and MAPE at the individual enrollee level. Medicare;Regression analysis;Risk ...

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    • Authors: Society of Actuaries
    • Date: Aug 2001
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Social Insurance>Medicare
  • Aging Curves for Health Care Costs in Retirement
    of increasing complexity in a retiree health valuation. A method to measure the impact is put forth ... factors had continued to the end of the mortality table. The application of a 5 percent aging curve over ...

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    • 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
  • An Overview of Health Issues and Recent Developments for the Non-Health Actuary
    historical increases in inflation mea- sures (Table 1). The Medical care component of the CPI, (MCPI) ... no evidence here of any revolution going on. TABLE 1 HISTORICAL INCREASES IN INFLATION MEASURES Year ...

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    • Authors: Phyllis Doran, Roland E King, Charles Larimer, Joseph W Moran, John K Ninomiya
    • Date: Apr 1986
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Professional Values>Public interest representation; Strategic Insight and Integration>Strategy development
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Experience Studies & Data; Health & Disability>Health care; Long-term Care>Long-term care insurance; Public Policy; Social Insurance>Medicare
  • Visions for the Future of the U.S. Health Care System - Health Reform, American Style
    pool if the principles of social solidarity and individual equity are to be in balance. Details of how ... only requires underwriting by both group and individual insurers, but also the resulting inherent discontinuities ...

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    • Authors: Hobson Carroll
    • Date: Jun 2009
    • Competency: Communication>Persuasive communication; Communication>Written communication; Leadership>Influence; Leadership>Thought leadership
    • Topics: Health & Disability>Health care; Long-term Care>Medical expenses; Public Policy; Reinsurance; Reinsurance>Coinsurance; Reinsurance>Pricing - Reinsurance; Social Insurance>Medicaid; Social Insurance>Medicare
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Advantage Bid Rebate Federal Part C Revenue Table 1 2019 Quality Bonus Payment and Rebate Percentages ... star rating are shown in Table 1.4 The current distribution of individual MA contracts by 2018 star ...

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    • Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
    • Date: Jun 2018
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • U.S. Health Care System Proposal: Private And Public Choice
    administrative efficiencies over persons buying individual insurance in the Current Option. There is a ... Insurance Coverage in the United States: 2007; table 6) 6 Under this proposal household income would ...

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    • Authors: Application Administrator
    • Date: Jun 2009
    • Competency: Leadership>Thought leadership
    • Topics: Demography>Longevity; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Social Insurance>Medicaid; Social Insurance>Medicare
  • Providing Prescription Drug Coverage for Medicare Beneficiaries
    Prescription Drug Coverage For Medicare Beneficiaries Table of Contents Executive Summary ................ ... properties. The lowest prices are paid for generics. Table 1 shows the breakdown of pay- ments between drug ...

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    • Authors: American Academy of Actuaries
    • Date: Jul 2000
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Social Insurance>Medicare