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  • New Member Impact on Medicaid Managed Care Costs
    New Member Impact on Medicaid Managed Care Costs In this article, the authors explore how the recession ... member enrollment in the various state health care programs and the resulting impact on trend. Analytics ...

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    • Authors: Bela H Patel Fernandez, Jeffrey L Smith
    • Date: Feb 2010
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Experience Studies & Data>Morbidity; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
  • At the Intersection of Risk Adjustment and Social Determinants of Health
    At the Intersection of Risk Adjustment and Social Determinants of Health Interview of people knowledgeable ... knowledgeable about risk adjustment and the use of social determinants of health with that context for Medicaid ...

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    • Authors: Sudha Shenoy, Gail Stone
    • Date: Mar 2019
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicaid
  • Medicaid Expansion under the Affordable Care Act
    Medicaid Expansion under the Affordable Care Act On January 1, 2014, many states will be enrolling newly ... adults into the Medicaid program. This article compares the expansion population to the current Medicaid ...

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    • Authors: Robert Damler
    • Date: Oct 2013
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Social Insurance>Medicaid
  • Risk Adjustment in State Medicaid Programs
    Risk Adjustment in State Medicaid Programs This article discusses some of the most important considerations ... considerations in implementing risk adjustment within a Medicaid Managed Care program. From Health Watch, January ...

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    • Authors: Robert Damler, Ross Winkelman
    • Date: Jan 2008
    • Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicaid
  • At the Intersection of Public Health and Actuarial Practice
    At the Intersection of Public Health and Actuarial Practice An edited written interview with two actuaries ... public health professional on issues related to the intersection between the two fields. Health care costs;Health ...

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    • Authors: Barbara Zabielski
    • Date: Oct 2017
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional associations; Health & Disability>Health care; Health & Disability>Payment models; Public Policy; Social Insurance>Medicaid
  • What the Repeal and Replacement of the Affordable Care Act Will Look Like
    What the Repeal and Replacement of the Affordable Care Act Will Look Like Republicans have promised ... promised to repeal and replace the Affordable Care Act for years. Now that they have power, what will Republican ...

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    • Authors: Joseph Slater, Joshua Strupcewski, John Culkin
    • Date: Mar 2017
    • Competency: Professional Values>Public interest representation
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare
  • Medicaid Innovation: The Need for Actuaries in the Medicaid Program
    Innovation: The Need for Actuaries in the Medicaid Program Background on Medicaid and description of recent ... recent changes in the program. Medicaid;Payment Reform;Payment Models;Social Insurance;Managed Care 6442468662 ...

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    • Authors: Christine Bach
    • Date: May 2016
    • Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicaid
  • Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration
    Reform Under The Medicare-Medicaid Financial Alignment Demonstration This article focuses on the capitation ... methodology for the Medicare-Medicaid Financial Alignment Demonstration. It also describes the background ...

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    • Authors: Michael Cook, Shelly Brandel
    • Date: May 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
  • The Health Insurance Providers Fee and Medicaid
    The Health Insurance Providers Fee and Medicaid This article describes the Health Insurance Providers ... implemented through Section 9010 of the Affordable Care Act (ACA) and discusses how the fee will creates challenges ...

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    • Authors: Sabrina Gibson, Maria Dominiak
    • Date: Oct 2013
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>General business skills
    • Publication Name: Health Watch
    • Topics: Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
  • Payment Reform: A Medicaid Overview
    Payment Reform: A Medicaid Overview This article highlights several state's Medicaid ... including cutting edge payment changes based on episodes of care, patient outcomes, and quality metrics ...

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    • Authors: David Neiman, Thomas Carlson, Rebecca Owen
    • Date: May 2013
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicaid