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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 ...- 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
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The Evolution of the Individual Market (Part II)
The Evolution of the Individual Market (Part II) Part II of a two-part series discussing individual ... individual market evolution from before the ACA through President Trump's first term. Individual health plans ...- Authors: Gregory Fann
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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Abstracts of Health Articles from the North American Actuarial Journal
Abstracts of Health Articles from the North American Actuarial Journal Highlights of health related ... related articles from the North American Actuarial Journal. A paper on health care reform and efficiency is ...- Authors: Ian G Duncan
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy
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Soundbites from the American Academy of Actuaries’ Health Practice Council
from the American Academy of Actuaries’ Health Practice Council Updates on the efforts of the Academy’s ... to educate and influence health care policymakers on issues including principles for health care reform ...- Authors: Heather E Jerbi, Tim M Mahony
- Date: May 2010
- Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Influence; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Experience Studies & Data; Public Policy; Public Policy; Social Insurance>Medicare
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Risk Adjustment Research Proceeding
Risk Adjustment Research Proceeding This article describes the SOA's Risk Adjustment Research project ... project, in the context of health care reform, and the preliminary data analysis that has been completed ...- Authors: Alice Rosenblatt
- Date: May 1995
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: The Actuary Magazine
- Topics: Public Policy
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Opinion - The Opportunity Of A Generation To Change The Health Care Game
Opinion - The Opportunity Of A Generation To Change The Health Care Game An article in which Robert ...- Authors: Robert Laszewski
- Date: Jan 1994
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: The Actuary Magazine
- Topics: Public Policy
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Principles Of Actuarial Science And The New Health Care Reform Law
Principles Of Actuarial Science And The New Health Care Reform Law Discussion of some of the debated aspects ... aspects of the new health care law from an actuarial principles perspective. Antiselection;Behavioral ...- Authors: Mark E Litow
- Date: Jul 2010
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation
- Publication Name: In The Public Interest
- Topics: Public Policy
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Chairperson's Corner
includes a summary of 2012 Health section activities as well as upcoming events, including the Health '12 ... two HARI research projects (ACOs and risk adjustment), the value of health section membership, and our ...- Authors: Kevin Law
- Date: May 2012
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Public Policy; Public Policy
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Prioritization of Health Services
Prioritization of Health Services This session is about the details of the inception and implementation of the ... the Oregon Health Plan. From Record of Society of Actuaries Vol. 18, No. 1B. Government-funded healthcare;Health ...- Authors: Paul R Fleischacker, Harvey Klevit
- Date: Apr 1992
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy; Social Insurance>Medicaid
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Commercial Health Care: What’s Next?
condensed summary and excerpt from the fourth white paper in the Commercial Health Care: What’s Next ... Next? series. health care reform;risk adjustment;health insurance;health policy;health risks 6442480945 ...- Authors: David Dillon
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy