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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 ...

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    • 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
  • Proposed Changes In Social Security - The Actuary - Vol. 1, Iss. 2, April 1967
    across-the-board benefit in- crease of 15%, with a minimum Primary Insurance Amount of $70; the present minimum is ... under age 62 who do not have children in their care. An increase in the annual exempt amount in the ...

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    • Authors: Robert J Myers
    • Date: Apr 1967
    • Competency: External Forces & Industry Knowledge
    • Publication Name: The Actuary Magazine
    • Topics: Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Social Security
  • The Actuarial Value of Original A/B Medicare
    value of the original (fee for service) A/B Medi-care plan of benefits and its cost-sharing implications ... beneficiaries spend about three times as much for medical care as the average person under 65. As the popula- ...

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    • Authors: Daniel W Bailey
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare
  • SMI Trust Fund Estimates Under Alternative II Assumption for Aged andDisabled Enrollees Excluding End-Stage Renal Disease
    them to the time of service. • Managed Care Services Managed care plans with contracts to provide health ... or capitation basis. Comprehensive data on such direct reimbursements are available only on a cash basis ...

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    • Authors: Society of Actuaries
    • Date: Oct 2002
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Pension Section News
    • Topics: Social Insurance>Medicare
  • Issues and Trends in Medicare Supplement Insurance
    statistics that we have derived from the NAIC data. Direct writing companies submit their Medicare supplement ... called for a study comparing the cost, quality of care and access to service under Medicare Select policies ...

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    • Authors: John S Cathcart, Garry R Reed, Kenneth Clark
    • Date: Jun 2003
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Medicare Advantage risk scores – Are you competitive?
    status of their populations continues to be a primary key to their success. This article updates those ... member based on ICD- 10 diagnosis codes from health care claims. A member is assigned an HCC if an ICD- 10 ...

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    • Authors: Corey Berger
    • Date: Oct 2018
    • Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
  • Back to the Future with Medicare: What Lies Ahead?
    associate administrator for management at the Health Care Financing Administration (HCFA). He has been the ... Benefits Inpatient hospital care Physician services Skilled nursing care Outpatient hospital services ...

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    • Authors: Application Administrator, Richard Foster, Roland E King, Joseph Antos, Robert Lynch
    • Date: Jun 1996
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Social Insurance>Medicare
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    traditional FFS Medicare Part A (hospital and long- term care services) and Part B (outpa- tient and professional ... Prescription Drug Plans (PDPs), Program of All- Inclusive Care for the Elderly (PACE) plans, Cost plans, Medicare- ...

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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
  • Medicare Risk Contracts
    community rate (ACR) filing process with the Health Care Financing Administration (HCFA). MEDICARE RISK ... allowed HMOs to contract with HCFA to provide health care coverage to Medicare beneficiaries on either a cost ...

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    • Authors: Frank R Kopenski, Kenneth E Leinbach
    • Date: Jun 1996
    • Competency: External Forces & Industry Knowledge; Professional Values>Practice expertise
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Social Insurance>Medicare
  • Medicare Supplement Insurance Basics
    HAUBOLDT • Current issues MS. DAWN E. HELWIG: The primary issues we want to focus on are: (1) what some of ... September 15, but it hasn't been signed yet. The Health Care FinancingAdministration believesthat it's going ...

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    • Authors: Richard Hauboldt, Dawn E Helwig
    • Date: Oct 1993
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare