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  • Abstract: The Boomers Are Coming: A Total Cost of Care Model of the Impact of Population Aging on the Cost of Chronicand Acute Conditions in the United States
    Abstract: The Boomers Are Coming: A Total Cost of Care Model of the Impact of Population Aging on the Cost ... Cost of Chronicand Acute Conditions in the United States This is the abstract for the paper, The Boomers ...

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    • Authors: Louise H Anderson, Nancy A Garrett, E Mary Martini, Tammie Lindquist, Elaine Moses
    • Date: Jun 2005
    • Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Health & Disability>Health care; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
  • Risk Adjustment Implementation Issues
    Risk Adjustment Implementation Issues Risk adjusters were first used for the Y2K reimbursements to Medicare+Choice ... What was the financial impact to the Medicare program? What changes are expected for the future? From ...

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    • Authors: John Bertko, Craig Schmid, Mel Ingber
    • Date: May 2000
    • Competency: 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: Public Policy; Social Insurance>Medicare
  • Adjusting for Risk Under Medicare
    Adjusting for Risk Under Medicare Panelists discuss several methods for implementation of the Balanced Budget ... requirement that the Medicare program adopt a risk adjustment mechanism for implementation in the year 2000 ...

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    • Authors: Application Administrator, William Lane, Patrick J Dunks, Jill Ann Stockard
    • Date: Jun 1999
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Linking Quality and Cost: An Analysis of the Hospital Quality Information Initiative Measures
    Cost: An Analysis of the Hospital Quality Information Initiative Measures Analysis of possible mathematical ... data as defined by the U.S. Department of Health and Human Services along with the Hospital Quality Alliance ...

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    • Authors: John Cookson, Eileen A Kurtz
    • Date: Nov 2006
    • Competency: Communication; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Experience Studies & Data; Health & Disability>Health care quality; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare
  • Medicare Advantage Hierarchical Condition Categories: Updated Study Results
    Medicare Advantage Hierarchical Condition Categories: Updated Study Results Summary ... analysis of the diseases and conditions exhibited in the Medicare Advantage population Medicare;Risk adjustment;Health ...

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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
    Organizations: Getting a Bigger Bang for the Buck Panel discusses the effects of reduced payment levels to many ... Medicare managed care organizations. From the Record of the Society of Actuaries, Vol. 24, No. 2. Chronic ...

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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
  • Results from the SOA Long-Term Care Think Tank
    Results from the SOA Long-Term Care Think Tank This article is about the most significant issues and ... trends that may impact long-term care LTC risks, care delivery and protection in the future. Home health ...

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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 Modernization Act [MMA] - Changes to Employer Health Plans
    Plans Panelists discuss the current implications of the Medicare Modernization Act on employer provided and ... subsidies and current experience. From the Record of the Society of Actuaries, Vol. 31, No. 2, Session 108 ...

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    • Authors: Frank R Kopenski, George Wagoner
    • Date: Jun 2005
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Disease Management and the Insurance Industry
    Disease Management and the Insurance Industry Does disease management DM positively influence health ... care costs? According to three prestigious sources, the answer is no. From Financing Chronic Care Monograph ...

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    • Authors: Jaan Sidorov
    • Date: Jun 2005
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Health & Disability>Health care; Social Insurance>Medicare
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Medicare Advantage Star Ratings: Expectations for New Organizations This ... article makes organizations entering the MA market aware of the star rating climate, as well as short- ...

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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