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Session 055: Medicare Advantage Unleashed: How Benefit Design Flexibility is Changing MA Benefit Package Design
Session 055: Medicare Advantage Unleashed: How Benefit Design Flexibility is Changing MA Benefit Package Design Beginning with the 2019 Benefit Year, CMS (the Centers for Medicare and Medicaid ...- Authors: Timothy Murray, Nathan James Baehr , Brennan Collins , Dan Trigub
- Date: May 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Public Policy
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Session 020: Provider Reimbursement and Mental Health Parity
Session 020: Provider Reimbursement and Mental Health Parity MHPAEA prohibits health plans from imposing financial requirements or treatment limitations on behavioral health benefits that are ...- Authors: Kristi Bohn, Rebecca Owen, Irvin Muszynski
- Date: Jan 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Public Policy; Health & Disability>Provider networks
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Session 040: Viruses: An Actuarial Perspective on Public Health Risks
Session 040: Viruses: An Actuarial Perspective on Public Health Risks HIV is still a big public health concern, but there are therapies available to prevent infection before and immediately after ...- Authors: Rebecca Owen, Sara Teppema, Ya-Lin Huang, Brian Schwartz
- Date: Jan 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Health care; Public Policy
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Employer-Sponsored Insurance Under the ACA: Impacts from the Cadillac Plan Excise Tax
Employer-Sponsored Insurance Under the ACA: Impacts from the Cadillac Plan Excise Tax This article provides an overview of the key provisions and impacts of the Affordable Care Act's ...- Authors: Paul R Houchens
- Date: Jan 2016
- Competency: Strategic Insight and Integration>Big picture view
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy
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ASOPs, Anti- Selection, Affordability and ACA Altern
ASOPs, Anti- Selection, Affordability and ACA Altern This article is focused on sustainability concerns in the ACA individual markets and what we can learn from core actuarial principles as ...- Authors: Gregory Fann
- Date: Nov 2016
- Competency: Leadership>Thought leadership; Professional Values>Practice expertise; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Actuarial Profession>Standards of practice; Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
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The Changing Demographic Landscape and Aging Population
The Changing Demographic Landscape and Aging Population There is a wide range of literature on aging and health care. We sample this literature and find it fits into the subcategories of ...- Authors: Society of Actuaries
- Date: Mar 2003
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Topics: Health & Disability>Health care; Long-term Care>Medical expenses; Public Policy; Social Insurance>Medicare
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Value for Money from the Top 20? A Critical Examination of Therapeutic Impact and Value of Top-Selling Drug Products against their Competitors
Value for Money from the Top 20? A Critical Examination of Therapeutic Impact and Value of Top-Selling Drug Products against their Competitors Prescribers, payers, and patients must put a higher ...- Authors: Alan Cassels
- Date: May 2004
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge>Internal forces and business performance; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health care; Public Policy
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State of Utah Childrens Health Insurance Program CHIP Five-Year Pharmacy Analysis
State of Utah Childrens Health Insurance Program CHIP Five-Year Pharmacy Analysis Established as part of the 1998 Utah State legislative session, the State of Utah's Children's ...- Authors: Dennis Kunimura
- Date: May 2004
- Competency: Leadership>Thought leadership; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Health & Disability>Health care; Public Policy
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Chairperson's Corner
Chairperson's Corner Overview of research project to investigate the extent of funding of public government retiree health programs. assumptions;employee contributions;employer ...- Authors: Steven Bryson
- Date: Aug 2017
- Competency: Professional Values>Public interest representation
- Publication Name: In The Public Interest
- Topics: Health & Disability>Public financing - Health & Disability; Pensions & Retirement>Retiree medical; Public Policy
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Escaping the Addiction – From Preferred Payer to Rational Pricing
Escaping the Addiction – From Preferred Payer to Rational Pricing A proposal to reform current health care market, from a 'preferred payer' system, in which Medicare and Medicaid pay ...- 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