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  • Results from the SOA Long-Term Care Think Tank
    protection. • Risk was defined as the risk that an individual would require living assis- tance of some sort ... views of improvements to Medicaid. Moreover, any individual is likely to play several roles in the system: ...

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    • Authors: Emily Kessler
    • Date: Dec 2005
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Leadership>Thought leadership; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Long-Term Care News
    • Topics: Long-term Care>Long-term care facilities & home care; 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
  • Medicare Advantage Hierarchical Condition Categories: Updated Study Results
    summary of the variation in HCCs by region. • Individual disease states also vary by age/ gender and geographic ... between employer group and individual mem- bers, we included both individual and employer group members ...

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    • Authors: Corey Berger, Eric P Goetsch
    • Date: Jan 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Social Insurance>Medicare
  • Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
    managed hospital inpatient, $263 out of the $534 (see Table 1). In the well-managed system, that drops to ... the savings are in the hospital inpatient area. TABLE 1 PROJECTED 1999 PMPM BENEFIT COST XYZ COUNTY, ...

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    • 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