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Medicare Advantage: Seven Considerations to Achieve August Resubmission Success
participate, in which case any changes in the direct subsidy since June are reflected in member premium ... Medicare Part D national average amounts and Medi- care Advantage (MA) regional benchmarks in late July ...- Authors: Susan Silseth, Matthew Timm, Kelly Backes, Hillary Millican
- Date: Oct 2017
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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Session 092: Leveraging CMS’ public use files and research data to drive competitive and strategic positions as well as improve healthcare operations
closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... Determined by QE Data Access & Matching No matching No direct data, must use SAS platform, matching available ...- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Experience Studies & Data>Policyholder or participant behavior - Experience ; Social Insurance>Medicare
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Medicare Advantage: Changes and Updates to enhanced benefits
incentivize the appropriate use of health care services. The primary avenue for providing such items and services ... more were added for the 2019 plan year. The CHRONIC Care Act, included in the Bipartisan Budget Act of 2018 ...- Authors: Nicholas Johnson, Michael Polakowski
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge; External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Social Insurance>Medicare
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Medicare 101
have evolved into what is known today as Medi- care Advantage or Medicare Part C; • 1998—www.Medicare ... are under age 65 may also be eligible for Medi- care, if they have been collecting Social Security disability ...- Date: Jan 2014
- Competency: Communication>Written communication
- Publication Name: In The Public Interest
- Topics: Social Insurance>Medicare
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Recent Developments on the Medicare Modernization Act [MMA]
creates a number of issues for employers and managed-care plans. Employers must determine the impact of the ... legislation in their FAS 106 valuations. Managed-care plans need to review the effect of the legislation ...- Authors: Dawn E Helwig, Martin Hill, Don Zhang
- Date: Jan 2005
- Competency: External Forces & Industry Knowledge
- Topics: Social Insurance>Medicare
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Medicare Prescription Drugs
has more than 12 years of experience in the health care field. In 2003, Corey presented an actuarial equivalence ... asked, "What happened in 2003 and why should you care?" That, perhaps, is not a question that's terribly ...- Authors: Janet Carstens, Corey Berger, Brian Glassman, Ted Marmor
- Date: May 2004
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Social Insurance>Medicare
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In The Public Interest – Issue No. 8 – June 2013
Eligibles And The ACA by Rebecca A. Owen 16 Health Care Reform And The Actuarial Profession by Dwight K ... Social Insurance In The Wake Of The Affordable Care Act by bob Tate 23 The Nature Of Social Insurance ...- Authors: Social Insurance Module Committee
- Date: Jun 2013
- Competency: Communication>Written communication
- Publication Name: In The Public Interest
- Topics: Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Postemployment benefits; Social Insurance>Social Security; Social Insurance>Survivor benefits
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SMI Trust Fund Estimates Under Alternative II Assumption for Aged and Disabled Enrollees Excluding End-Stage Renal Disease
them to the time of service. • Managed Care Services Managed care plans with contracts to provide health ... services to Medicare beneficiaries are reimbursed direct- ly by CMS on either a reasonable cost or capitation ...- Authors: Society of Actuaries
- Date: Sep 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Pension Section News
- Topics: Social Insurance>Medicare
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Generic Dispensing Rates: Silver Bullet No More?
35 $27.93 $30.36 $31.94 -0.8% National Average Direct Subsidy $60.10 $53.08 $52.59 $53.97 $56.39 -6.2% ... maceutical space with all of the uncertainty in health care recently. Government regulation looms as a big ...- Authors: Troy Filipek
- Date: May 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics; Economics>Health economics; Social Insurance>Medicare
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SMI Trust Fund:Estimates under Alternative II Assumption forAged and Disabled Excluding End-Stage RenalDisease Enrollees
through an independent reporting system. In a health care program with continuously increasing incurred reim- ... 2001 PENSION SECTION NEWS (3) Managed Care Services Managed care plans with contracts to provide health ...- Authors: Society of Actuaries
- Date: Sep 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Pension Section News
- Topics: Social Insurance>Medicare