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  • Risk Adjustment Implementation Issues
    first used for the Y2K reimbursements to Medicare+Choice laws. How did plans fare? What was the financial ... impact to the Medicare program? What changes are expected for the future? From Record of Society of Actuaries ...

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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
  • Stormy Weather
    Stormy Weather A discussion of fraud and abuse in the Medicare payment system, and steps to address ...

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    • Authors: Brad S Linder
    • Date: Dec 2010
    • Competency: Professional Values>Ethical standards
    • Publication Name: Long-Term Care News
    • Topics: Health & Disability>Payment models; Public Policy; Social Insurance>Medicare; Health & Disability>Electronic medical record
  • Politics and Health Care
    October 2000 Annual Meeting. The panel presents the status of recent legislative proposals and current ... then focuses more attention on the potential longer-term directions for the health-care system. Consumer-driven ...

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    • Authors: Dwight K Bartlett, James Murphy, George G Smedinghoff, Terry S Ward
    • Date: Oct 2000
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Public Policy; Social Insurance>Medicare
  • Escaping the Addiction – From Preferred Payer to Rational Pricing
    Escaping the Addiction – From Preferred Payer to Rational Pricing A proposal to reform current health ... system, in which Medicare and Medicaid pay less than the true cost while others must then pay more, to a 'value ...

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    • Authors: Hobson Carroll
    • Date: Sep 2010
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
  • Letter from the Editors
    Letter from the Editors The editors of Health Watch have made health care reform the focus of the Sepctember ... Sepctember 2009 issue, and provide an introduction to the issue's contents. Health care reform;Health ...

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    • Authors: Grady Catterall, Mary Kindel Van der Heijde
    • Date: Sep 2009
    • Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Social Insurance>Medicare
  • Comprehensive Medicare Reform
    Medicare Reform Task Force, the 2000 Medicare Technical Advisory Panel's review of HCFA's Medicare projections ... and prescription drug coverage. From the Record of the Society of Actuaries, Volume 27, No. 1, Session ...

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    • Authors: Roland E King, Jay C Ripps, Dale Yamamoto, Cori Uccello
    • Date: May 2001
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Social Insurance>Medicare
  • 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
  • Medicare Reform
    Reform The panel offers a recap of the most recent initiatives being proposed for reform of the Medicare ... Items addressed include areas of actuarial concern, potential impacts on the insurance industry and responses ...

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    • Authors: Michael S Abroe, Dennis Hulet, William C Weller, Michael Gale, Mark A Peterson
    • Date: May 2004
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Actuarial Profession>Professional associations; Public Policy; Social Insurance>Medicare
  • Providing Prescription Drug Coverage for Medicare Beneficiaries
    Providing Prescription Drug Coverage for Medicare Beneficiaries A summary of Medicare reform ... Drug Coverage for Medicare Beneficiaries A summary of Medicare reform and its effect on prescription drug ...

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    • Authors: American Academy of Actuaries
    • Date: Jul 2000
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Social Insurance>Medicare
  • Medicaid Expansion Under the Affordable Care Act
    Medicaid Expansion Under the Affordable Care Act Discussion of state medicaid expansion due ... Under the Affordable Care Act Discussion of state medicaid expansion due to provisions of the Affordable ...

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    • Authors: Robert Damler
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge
    • Publication Name: In The Public Interest
    • Topics: Public Policy; Social Insurance>Medicare