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Response to March 2021 Practice Note on ASOP 6
Advantage (MA)12 plans exist in the form of either individual or group-issued contracts. Each type receives ... practice of not age-rating the premiums for these individual or group MA, MA-PD, or stand-alone Medicare Part ...- Authors: Charles Edwards
- Date: Aug 2022
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Experience Studies & Data>Morbidity; Health & Disability>Health care
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Understanding Health in the Big Picture
including identifying high-risk populations and individual patients appropriate for intensive intervention ... in predicting selected health outcomes at the individual patient level. Specific topics included the correlation ...- Authors: Jill Van Den Bos, Stoddard Davenport
- Date: Aug 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health risks
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Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment”
liability associated with each enrollee. A change in individual market regulatory dynamics occurred in October ... shouldn’t be looking at the risk level of that individual consumer signing up for coverage. You should ...- Authors: Greg Fann
- Date: Jun 2022
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Health & Disability>Health care
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Better Care Through Understanding the Customer Not Just the Patient
data points are closest to other “like” members. Table 1 is an example of the resulting grouping for six ... representing the lowest and dark green the highest. Table 1 Member Retention Cluster Analysis * Normalized ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques