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Risk Adjustment Implementation Issues
Risk Adjustment Implementation Issues Risk adjusters were first used for the Y2K reimbursements ... th care reform;Health economics;Health maintenance organization=HMO ;Hospitalization;Managed care;Medicare;Risk ...- 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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James Madison, Ronald Reagan, And The Future Of The Medicare Program
Madison's great accomplishments was to be the primary architect of the Constitution of the United States ... Society, is the Deputy Administrator of the Health Care Financing Administration in Washington D.C. 187 ...- Authors: Glenn Hackbarth
- Date: Apr 1987
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Social Insurance>Medicare
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Designing Employer Medicare Products
Designing Employer Medicare Products Panelists discuss what they are seeing in today's ... 2. Health maintenance organization=HMO ;Managed care;Medicare supplement;Preferred provider organization=PPO; ...- Authors: Dale Yamamoto, James Matthisen, MaryAnne Lindeblad
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Social Insurance>Medicare
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Medicare Reform
Medicare Reform This session disscusses thel outlook of the Medicare program, current and longer-term ... 66 Health maintenance organization=HMO ;Managed care;Preferred provider organization=PPO;Prescription ...- Authors: P Anthony Hammond, William London, James W Mays, Harry L Sutton
- Date: Jun 2003
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy; Social Insurance>Medicare
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Federal Regulations Affecting Health Benefits
Federal Regulations Affecting Health Benefits Panelists discuss key aspects of recent ... Actuaries, Vol. 24, No. 2. Group health plans;Health care reform;Health factors;Health insurance;Health maintenance ...- Authors: Mark F Olson, Thomas Ruehle, Geoffrey C Sandler, Gordon R Trapnell
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy; Public Policy; Social Insurance>Medicare
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Resource-Based Relative Value Schedule [RBRVS] From a Medicare Perspective
Resource-Based Relative Value Schedule [RBRVS] From a Medicare Perspective This session is about Medicare ... Actuaries Vol. 19, No. 1. Payment reforms=Health care payment reforms; 16690 4/1/1993 12:00:00 AM ...- Authors: William London, Woodrow H McDonald, Richard E Swift
- Date: Apr 1993
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Social Insurance>Medicare
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Medicare Supplement Update
Medicare Supplement Update Presented at October 2000 Annual Meeting. Discusses recent ... discussed. Government-funded healthcare;Health care costs;Medicare supplement;Premiums;Product development;Retiree ...- 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 Reform
Medicare Reform The panel offers a recap of the most recent initiatives being proposed for reform ... Actuaries, Volume 30, No. 1, Session 48 Managed care;Medicare supplement; 18616 5/1/2004 12:00:00 AM ...- Authors: Michael S Abroe, Dennis Hulet, William C Weller, Michael Gale, Mark A Peterson
- Date: May 2004
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Professional associations; Public Policy; Social Insurance>Medicare
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Behind the Scenes in Developing the Medicare Trustee Reports
Behind the Scenes in Developing the Medicare Trustee Reports This presentation from Session ... about the data sources and advice used by the Health Care Financing Administration in choosing the assumptions ...- Authors: John Wandishin, Dale Yamamoto
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Social Insurance>Medicare
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Medicare/Medicaid Risk Contracting - Profitability
For example, in some rural areas the standard of care means driving Medicare/Medicaid Risk Contracting—Profitability ... fund an HMO-style program with reasonable access to care. Similarly, we know that in some parts of the country ...- Authors: John Heins, John K Ninomiya, Steven J Sherman, Jon R Gabel, William J Klunk
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Social Insurance>Medicaid; Social Insurance>Medicare