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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
  • Medicare+Choice Capitated Plans Update
    Spring Meeting. The Balanced Budget Act of 1997 dramatically changes the competitive landscape ... products by establishing the Medicare+Choice program. This session recaps the Balanced Budget Act's ...

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    • Authors: Lynette Trygstad, Marvin S Segal, Suzanne Daly
    • Date: May 2000
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Pensions & Retirement>Retiree medical; Social Insurance>Medicare
  • External Influences On Health Insurance U.S.
    from the 1983 SOA Vancouver Meeting discusses national health policy issues in the U.S. and the impact ... impact of these issues on the private health insurance business. Issues include health insurance for the ...

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    • Authors: Gilbert S Omenn, Gerald J Reilly, Richard K Tompkins, Richard J Mellman
    • Date: May 1983
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare
  • United States Employee Benefits - Current Developments
    Developments This session from the 1984 SOA Toronto discusses the Deficit Reduction Act of 1984 - DEFRA, FASB proposals ... proposals and the Retirement Equity Act of 1984 - REA. From Record of the Society of Actuaries Vol.

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    • Authors: Gregory Delamarter, F Jay Lingo, Virginia S Olds
    • Date: Oct 1984
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Financial Reporting & Accounting>Financial Accounting Standards Board [FASB]; Pensions & Retirement; Social Insurance>Medicare
  • Medicare Commission Recommendations
    Recommendations Panel discusses the National Bipartisan Commission on the Future of Medicare failed agreement ... examines the draft of the report, as well as other proposals for changes in Medicare. From the Record ...

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    • Authors: Jay P Boekhoff, Harry L Sutton, Dick Anderson
    • Date: Jun 1999
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Behind the Scenes in Developing the Medicare Trustee Reports
    Behind the Scenes in Developing the Medicare Trustee Reports This presentation from Session 99PD of the ... about the data sources and advice used by the Health Care Financing Administration in choosing the assumptions ...

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    • Authors: John Wandishin, Dale Yamamoto
    • Date: Jun 1999
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Medicare Reform: What Has Happened and What Can Happen?
    Session 61PD of the SOA 1996 Orlando Annual Meeting provides an update on changes to the Medicare health ... health program over the last couple years. In addition, the panelists discuss the merits of additional proposed ...

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    • Authors: Richard Foster, Roland E King, Harry L Sutton, Frederick B Abbey
    • Date: Oct 1996
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Social Insurance>Medicare
  • Medicare/Medicaid Risk Contracting - Profitability
    Session 46PD of the SOA 1996 Colorado Springs Meeting, the panelists discuss sources of profit/potential ... Medicare or Medicaid risk contracts. From the Record of the Society of Actuaries, Vol. 22, No. 2. Health maintenance ...

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    • Authors: John Heins, John K Ninomiya, Steven J Sherman, Jon R Gabel, William J Klunk
    • Date: Jun 1996
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicaid; Social Insurance>Medicare
  • Carriers' Choice on Medicare+Choice: Its Future Viability
    Viability The presentation discusses the history of the Medicare+Choice [M+C] program and the challenges ... plans offering the program, as well as the challenges faced by those interested in entering the program. From ...

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    • Authors: John Bertko, Robert Gordon Cosway, John Fritz, Clare M McFarland
    • Date: Jun 2002
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Medicare+Choice
    methodology, legislative developments that are impacting the M+C program and measures taken by health-care companies ... companies to adapt to those changes. From the Record of the Society of Actuaries, Volume 29, No. 2, Session ...

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    • Authors: John Bertko, John Fritz
    • Date: Jun 2003
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare