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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries Explanation ... Financial planning; Health care reform; Health insurance; Health policy; Managed care; 4294991587 5/1/2012 ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Disability in the New Millennium -A UK Perspective
Disability in the New Millennium -A UK Perspective General discussion of Critical Illness Insurance, Income Protection ... illness insurance;Disability insurance;Long-term care=LTC; 9369 8/1/2000 12:00:00 AM ...- Authors: Susan D Elliott
- Date: Aug 2000
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
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Medicare Advantage Part C Revenue: Challenges Ahead
Analysis of the projected impact of the Affordable Care Act on Medicare Part C revenue over 2014 through ... assumptions. Patient Protection and Affordable Care Act;Health policy;Budgets 4294995960 1/1/2013 ...- Authors: Timothy Courtney
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Public Policy
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Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements
Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements This article ... ;; Health care reform; Health reinsurance; Budgets; Stop-loss insurance; Accountable care organizations=ACO ...- Authors: Anthony Rubiano
- Date: May 2012
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Health & Disability>Payment models; Public Policy
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CSRs and Market Stabilization: What’s the Real Story?
CSRs and Market Stabilization: What’s the Real Story? Argues that reinstatement of CSR (cost-sharing ... health plans;Government-funded healthcare;Health care reform;Health policy 6442480951 2/1/2018 12:00:00 ...- Authors: Dean Ratzlaff
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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The Evolution of the Individual Market (Part II)
The Evolution of the Individual Market (Part II) Part II of a two-part series discussing individual market evolution ... plans, Government-funded healthcare, Affordable Care Act (ACA) 3/14/2019 12:00:00 AM ...- Authors: Gregory Fann
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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Cost and Benefit Trends Observed in July 1, 2011 Renewals for State Employers
Cost and Benefit Trends Observed in July 1, 2011 Renewals for State Employers This article compares July ... renewal premium trends by benefit plan. Health care costs;Premiums; 28078 10/1/2011 12:00:00 AM ...- Authors: Robert Gordon Cosway, Barbara Dewey
- Date: Oct 2011
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Medicare Advantage: Changes and Updates to enhanced benefits
incentivize the appropriate use of health care services. The primary avenue for providing such items and services ... more were added for the 2019 plan year. The CHRONIC Care Act, included in the Bipartisan Budget Act of 2018 ...- Authors: Nicholas Johnson, Michael Polakowski
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge; External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Social Insurance>Medicare
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Generic Dispensing Rates: Silver Bullet No More?
35 $27.93 $30.36 $31.94 -0.8% National Average Direct Subsidy $60.10 $53.08 $52.59 $53.97 $56.39 -6.2% ... maceutical space with all of the uncertainty in health care recently. Government regulation looms as a big ...- 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
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What does ERM mean for Health Practitioners?
Why Care About Enterprise Risk Management? I n late 2008, the health insurance industry faced a number ... Garnett 10 New Member Impact on Medicaid Managed Care Costs By Bela Patel Fernandez and Jeff Smith ...- Authors: Max Rudolph
- Date: Feb 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Relationship Management>Staff management and motivation; Results-Oriented Solutions; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Economics>Health economics; Enterprise Risk Management; Modeling & Statistical Methods>Forecasting