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Medicaid Innovation: The Need for Actuaries in the Medicaid Program
– – – – 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015* Millions of Medicaid Beneficiaries ... Health Spending Given its important role in the U.S. health care system over the past 50 years, it is ...- Authors: Christine Bach
- Date: May 2016
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid
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New Member Impact on Medicaid Managed Care Costs
unemployment increases in their geographic region (see Table 1). The markets studied included Arizona, Maryland ... have, on average, higher health care costs (see Table 2) the study showed that the proportion of short– ...- Authors: Bela H Patel Fernandez, Jeffrey L Smith
- Date: Feb 2010
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data>Morbidity; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
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Medicaid Expansion under the Affordable Care Act
demographics of the current Medicaid program. Table 1 illustrates the fiscal year 2009 enrollment distribution ... distribution by general eligibility groupings.2 Table 1: 2009 Medicaid enrollment by eligibility group ...- Authors: Robert Damler
- Date: Oct 2013
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Social Insurance>Medicaid
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SIPF Goes to the Health Meeting
was divided into two distinct parts. First, AHIP’s Lynn Nonnemaker discussed Medicare. She highlighted ... expected to occur by 2028. Lynn also highlighted CMS’s goal of having all Medicare beneficiaries in a “care ...- Authors: Marilyn Medved McGaffin, Stephanie Dawn Entzminger
- Date: Aug 2022
- Competency: External Forces & Industry Knowledge
- Publication Name: In The Public Interest
- Topics: Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare
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Use of Managed Care in Long-Term Care Insurance Contracts
each of those different reimbursement methods (Table 1). Again, if you're not doing any kind of care ... be coming out and needing more LTC services. TABLE 1 WHO ASSUMES THE RISK? Type of Reimbursement ...- Authors: Donald Charsky, Dawn E Helwig, Peggy Hauser
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Record of the Society of Actuaries
- Topics: Long-term Care>Chronic health management - Long-term Care; Long-term Care>Long-term care insurance; Long-term Care>Medical expenses; Social Insurance>Medicaid
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Medicaid and the ACA - Coverage of Medicaid home and community-based services under the 1915(i) state plan option
waivers and the 1915(i) state plan option. The table in Figure 1 (pg. 21) provides a com- parison of ... gov/fdsys/pkg/FR-2014- 01-16/pdf/2014-00487.pdf. • U.S. Government Accountability Office Report to Congressional ...- Authors: Marlene Howard, Robert Damler
- Date: Jul 2015
- Competency: External Forces & Industry Knowledge; Professional Values; Strategic Insight and Integration
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care; Long-term Care>Public financing - Long-term Care; Social Insurance>Medicaid
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Letter From The Editor
takes a philosophical look at the staid topic of mortality pat- terns among the oldest old. He suggests a ... a practical way that people can use recent mortality data to better prepare themselves to fund retirement ...- Authors: Jeffery Rykhus
- Date: Jul 2015
- Competency: Professional Values>Public interest representation
- Publication Name: In The Public Interest
- Topics: Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Postemployment benefits; Social Insurance>Social Security; Social Insurance>Survivor benefits
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What the Repeal and Replacement of the Affordable Care Act Will Look Like
3 “Filibuster in the United States Senate,” U.S. Senate, http://www.senate.gov/ artandhistory/hi ... ter- Way-HealthCare-PolicyPaper.pdf. 8 Avik S. A. Roy, “Transcending Obamacare: A Patient-Centered ...- Authors: Joseph Slater, Joshua Strupcewski, John Culkin
- Date: Mar 2017
- Competency: Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare
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Money Matters: Making Medicaid Payment More Effective Through Population-Based Payment
multiple ways to set rates—which can be based on a state’s goals, data availability, and its desire/ability to ... M. Silverman, L. Burgette, M. E. Vaiana, and M. S. Ridgely. “Are Value-Based Incentives Driving Behavioral ...- Authors: Anne Smithey, Kelsey Brykman
- Date: May 2023
- Competency: External Forces & Industry Knowledge
- Publication Name: In The Public Interest
- Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Social Insurance; Social Insurance>Medicaid; Health & Disability>Provider risk
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Letter to the Editor
Letter to the Editor Budget concerns should not be allowed to override sound actuarial rate development ... America. ISSUE 64 SEpTEmBEr 2010 Health Watch A s states try to balance their budgets, we are seeing ...- Authors: Sabrina Gibson
- Date: Sep 2010
- Competency: Communication>Difficult message delivery; External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Ethical standards; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Actuarial Profession>Code of Conduct; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid