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Medicare Advantage risk scores – Are you competitive?
Medicare Advantage risk scores – Are you competitive? What you need to know about risk scores to be competitive in the Medicare Advantage market. Medicare;Risk adjustment;Health insurance;Return ...- Authors: Corey Berger
- Date: Oct 2018
- Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
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Mistreatment of Actuarial Cost Estimates for Medicare
Mistreatment of Actuarial Cost Estimates for Medicare This is a short version of a memorandum to the Commissioner of Social Security and other government officials addressing misuse of actuarial ...- Authors: Robert J Myers
- Date: Jun 1980
- Competency: Professional Values>Public interest representation
- Publication Name: The Actuary Magazine
- Topics: Social Insurance>Medicare
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LTC Bullet: Baucus means Bupkus for LTC
LTC Bullet: Baucus means Bupkus for LTC Discussion of the implications of the newly unveiled health care reform proposal by Senator Baucus. Key issues include abandonment of the CLASS Act, ...- Authors: Stephen Moses
- Date: Dec 2009
- Competency: Communication; Leadership>Change management; Strategic Insight and Integration>Big picture view
- Publication Name: Long-Term Care News
- Topics: Long-term Care>Public financing - Long-term Care; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
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Stormy Weather
Stormy Weather A discussion of fraud and abuse in the Medicare payment system, and steps to address these problems. Claims review;Personal health records;Privacy laws;Data quality; 25890 12/1/ ...- Authors: Brad S Linder
- Date: Dec 2010
- Competency: Professional Values>Ethical standards
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Payment models; Public Policy; Social Insurance>Medicare; Health & Disability>Electronic medical record
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HI Trust Fund: Actuarial Methodology and Principal Assumptions
HI Trust Fund: Actuarial Methodology and Principal Assumptions This section describes the basic methodology and assumptions used in the estimates for the HI trust fund under the intermediate ...- Authors: Society of Actuaries
- Date: Sep 2004
- Competency: External Forces & Industry Knowledge
- Publication Name: Pension Section News
- Topics: Social Insurance>Medicare
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Risk Adjustment Implementation Issues
Risk Adjustment Implementation Issues Risk adjusters were first used for the Y2K reimbursements to Medicare+Choice laws. How did plans fare? What was the financial impact to the Medicare program? ...- Authors: John Bertko, Craig Schmid, Mel Ingber
- Date: May 2000
- Competency: 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: Public Policy; Social Insurance>Medicare
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Medicare Supplement Update
Medicare Supplement Update Presented at October 2000 Annual Meeting. Discusses recent enrollment and cost trends and competitive dynamics with Medicare+Choice capitated plans. Expected future ...- Authors: Michael S Abroe, Mark Bartorelli, Sally T Burner, Richard F Coyle
- Date: Oct 2000
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Practice expertise
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Social Insurance>Medicare
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Medicare Supplement Insurance Basics
Medicare Supplement Insurance Basics This session is about the current issues in Medicare supplement insurance basics. From Record of Society of Actuaries Vol. 19, No. 4A. Loss ratio=LR;Medicare ...- Authors: Richard Hauboldt, Dawn E Helwig
- Date: Oct 1993
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Social Insurance>Medicare
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Medicare + Choices: Impact of Self-Selection
Medicare + Choices: Impact of Self-Selection Panelists discuss different aspects of self-selection among Medicare options. From the Record of the Society of Actuaries, Vol. 24, No. 2. Budgets; ...- Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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Blending Census and Medicare Mortality Rates
Blending Census and Medicare Mortality Rates This paper presents a new method for blending census and Medicare mortality rates for the U.S. Decennial Life Tables. From the Actuarial Research ...- Authors: Jacques F Carriere
- Date: Jan 1992
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Demography>Population data; Social Insurance>Medicare