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HCFA & Medicare + Choice: Contract Year 2001 Changes
HCFA & Medicare + Choice: Contract Year 2001 Changes Outline of changes to the Adjust Community Rate ACR Proposal process and Beneficary Information Form, Issue No. 38 Managed ...- Authors: Anant Galande
- Date: Aug 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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Medicare Risk Funding
Medicare Risk Funding Two Medicare risk funding provisions that were radically changed by the BBA of 1997 funding variations by geographic area and risk adjustment. Issue No. 36 Payment reforms= ...- Authors: David Wille
- Date: Dec 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicare
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Impact of Proposed Change in Medicare Advantage Payment
Impact of Proposed Change in Medicare Advantage Payment Congress has been debating a revision to Medicare Advantage payments including limiting payments to the Medicare Fee-For-Service FFS cost.- Authors: Brian Weible, Kirk Luke Shanks
- Date: Jan 2008
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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The Modernization of Medigap Plans-Legislative Summary
The Modernization of Medigap Plans-Legislative Summary This article discusses the legislative summary of the changes that will occur with the new Medigap policies, which will be effective on or ...- Authors: Marianne Miller
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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PSOs and Medicare + Choice from the Healthcare Delivery Systems' Perspective
PSOs and Medicare + Choice from the Healthcare Delivery Systems' Perspective Issue No. 36. Issues relating to Provider Sponsored Organizations PSOs contracting with HCFA to sponsor Medicare ...- Authors: Kurt Giesa
- Date: Dec 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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APCs - They’ll Change OutpatientHospital Contracting
APCs - They’ll Change OutpatientHospital Contracting Discussion of Medicare's Ambulatory Payment Classification APC system as the standard for reimbursement of non-capitated outpatient ...- Authors: Patrick J Dunks, Nickolas Ortner
- Date: Apr 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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A Comparison Between the ACA Exchange and Medicare Risk Adjustment Programs
A Comparison Between the ACA Exchange and Medicare Risk Adjustment Programs Risk adjustment is used to adjust the revenue stream to health insurers that sell ACA eligible plans and Medicare ...- Authors: Kurt Wrobel
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
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The Modernization of Medigap Plans–Managing the Change
The Modernization of Medigap Plans–Managing the Change This article discusses planning for the changes that will occur with the new Medigap policies, which will be effective on or after June 1, ...- Authors: Gail M Lawrence
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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What Will Be the Impact of theNew Medicare PrescriptionDrug Benefit?
What Will Be the Impact of theNew Medicare PrescriptionDrug Benefit? This article provides an introduction to the Medicare Prescription Drug, Improvement and Modernization Act of 2003 and looks ...- Authors: Corey Berger
- Date: Mar 2005
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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Generic Dispensing Rates: Silver Bullet No More?
Generic Dispensing Rates: Silver Bullet No More? A summary of the driving forces behind, and effects of, the historical increases and future expectations of Generic Dispensing Rates.- Authors: Troy Filipek
- Date: May 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics; Economics>Health economics; Social Insurance>Medicare