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Session 125: Pathways to Success: How the MSSP Final Rule has Re-vamped the Program
Services (CMS) released the final rule for Accountable Care Organizations (ACOs) in the Medicare Shared Savings ... risk in the coming years. Medicare; Accountable Care Organizations; Health Insurance Medicare Shared ...- Authors: Noah Champagne, Richard A. Lassow
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health insurance; Public Policy
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Medical Out-of-Pocket Products Overview
HDHPs moved a larger share of the cost of health care onto the consumer. MOPPs were designed to ease ... plan, the adjudication of claims is done at the primary carrier—an administrative savings. 2. MOPP benefits ...- Authors: Rex Durington
- Date: Mar 2017
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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The Marketing Front
has authored the SOA study note titled "Pric- ing Direct Response Insurance Programs." MR. H. MICHAEL SHUMRAK: ... already in place at Fidelity Investments. The primary focus of my comments is going to be more aimed ...- Authors: Thomas Marra, H Shumrak, Richard D Jameison
- Date: May 1993
- Competency: Strategic Insight and Integration
- Publication Name: Record of the Society of Actuaries
- Topics: Annuities>Marketing and distribution - Annuities; Health & Disability>Health insurance; Life Insurance>Marketing and distribution - Life Insurance
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New Contract Medicare Star Ratings: Why The Sudden Cliff?
New Contract Medicare Star Ratings: Why The Sudden Cliff? On average, contracts receiving their first star rating receive ... Rating cliff? Value-based insurance design, Managed care 1/6/2020 12:00:00 AM ...- Authors: Suzanna-Grace Sayre, Danielle Beierle
- Date: Jan 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance
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Issue Brief: Changing Financial Risks for Medigap Insurance, Part 2
(snowbirds, for example); and cover their major health care needs without MA’s utilization reviews and the risk ... as well as likely delays in receiving necessary care.[4] Providers may also appreciate Medigap-covered ...- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance; Public Policy; Public Policy
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Session 185: The Health Insurance Customer Journey: A Behavioral Finance Perspective
closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... enrollment Member Acquisition • Health and wellness • Care management • Social Determinants of Health Member ...- Authors: Lijia Guo, Randall Herman, Joseph Slater
- Date: Mar 2020
- Competency: Strategic Insight and Integration
- Topics: Economics; Economics>Behavioral economics; Health & Disability; Health & Disability>Health insurance
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The Latin-American Market
tariffs, and to repeal import substitution are the direct consequences of this development. If we look at ... index to measure the price component of medical-care cost increases, there is the issue of the proper ...- Authors: Kevin Law, Camilo Salazar, Richard D Umstead, Enrique Kozolchyk
- Date: Apr 1993
- Competency: Strategic Insight and Integration
- Publication Name: Record of the Society of Actuaries
- Topics: Annuities>Marketing and distribution - Annuities; Health & Disability>Health insurance; Life Insurance>Marketing and distribution - Life Insurance
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Issue Brief: Changing Financial Risks for Medigap Insurance, Part 1
patients who deferred certain types of care or simply sought less care than they normally would (or should) ... financial improvements due to delayed and averted care in 2020 and 2021 than did other types of health ...- Authors: Kristi Bohn
- Date: Mar 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health insurance
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Product Management
the top says we've got to get into the long-term care market. We will design a product, price it, give ... then we decide that these people need long-term care insurance. Since we happen to sell products to the ...- Authors: John Hele, Anne Katcher, Alastair G Longley-Cook, Steven Schreiber, John F Bevacqua
- Date: Jun 1992
- Competency: Strategic Insight and Integration
- Publication Name: Record of the Society of Actuaries
- Topics: Annuities; Health & Disability>Health insurance; Life Insurance
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Session 045: Operational Risk Management for Health Insurance
closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... insurers, Blue Cross and Blue Shield plans, managed care organizations, regulators, and government agencies ...- Authors: Marc Lambright, Edward M Mailander, Rebecca B Scotchie
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Enterprise Risk Management>Operational risks; Health & Disability>Health insurance