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  • 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
  • Medicare + Choices: Impact of Self-Selection
    But, generally, the HMO has some control over individual selection. How they take that into account ... pricing decisions based on what we perceive to be individual selection patterns. Now we're going to enter ...

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    • Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
  • Free Market Fix
    Effective reform will also necessitate making each individual insured aware of the costs she is incurring ... out-of-pocket, etc.) from any source (i.e., employer, individual plan, etc.) tax free. Large HSAs would have ...

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    • Authors: Joseph Slater
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Leadership>Thought leadership
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicaid; Social Insurance>Medicare
  • Senior Health Products - Medicare Supplements and More
    an HMO do? An HMO was designed to provide an individual with a comprehensive set of services including ... hospice care is needed, it's a decision of the individual and his or her family. It's not a clinical decision ...

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    • Authors: H Lund
    • Date: Apr 1995
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Medicare