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  • Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
    and home care are scheduled to be in place by 2000. These changes will result in the need for many ... intended to be budget neutral. Also, in the year 2000 there will be risk status adjustment. All of these ...

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    • Authors: Oscar Lucas, Peggy Tyndall
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; 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: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Ratings: Expectations for New Organizations By Kelly S. Backes, Julia M. Friedman, Dustin J. Grzeskowiak ... Advantage Bid Rebate Federal Part C Revenue Table 1 2019 Quality Bonus Payment and Rebate Percentages ...

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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 Advantage: Seven Considerations to Achieve August Resubmission Success
    to Achieve August Resubmission Success By Kelly S. Backes, Hillary Millican, Susan Silseth and Matthew ... qualifications in all actuarial communications. Kelly S. Backes, Hillary Millican, Susan Silseth and Matthew ...

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    • 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
  • Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
    Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article ... Prescription Drug Plans and Commercial Exchanges By Shelly S. Brandel and douglas A. Proebsting The Affordable ...

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    • Authors: Shelly Brandel
    • Date: Jan 2013
    • Competency: Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare