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APCs - They’ll Change OutpatientHospital Contracting
APCs - They’ll Change OutpatientHospital Contracting Discussion of Medicare's Ambulatory Payment ... calculations. Issue No. 37. Payment reforms=Health care payment reforms; 9347 4/1/2000 12:00:00 AM ...- 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 ... Health risks;Patient Protection and Affordable Care Act;Medicare;Risk modeling;Risk transfer 6442459390 ...- 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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Impact of Proposed Change in Medicare Advantage Payment
Impact of Proposed Change in Medicare Advantage Payment Congress has been debating a revision to Medicare ... Pennsylvania and New York. Payment reforms=Health care payment reforms; 9470 1/1/2008 12:00:00 AM ...- 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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Impact of the MedicarePrescription Drug, Improvementand Modernization Act on MedicareSupplement Insurance Plans
Impact of the MedicarePrescription Drug, Improvementand Modernization Act on MedicareSupplement ... Section Newsletter, March 2005, Issue No. 49. Health care reform;Medicare supplement;National Association ...- Authors: Dennis Hare
- Date: Mar 2005
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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Prevalence of Supplemental Benefits in the Medicare Advantage Marketplace: 2017 to 2021
marketplace,[1] supplemental benefits are one of the primary ways Medicare Advantage organizations (MAOs) can ... utilization This includes adult day care, home-based palliative care, in-home support services, support ...- Authors: Julia Friedman
- Date: Mar 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Social Insurance>Medicare
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Soundbites from the American Academy of Actuaries’ Health Practice Council
Soundbites from the American Academy of Actuaries’ Health Practice Council Updates on the efforts ... its work groups and task forces, to educate health care policymakers on issues including principles for ...- Authors: Heather E Jerbi, Melissa Stevens
- Date: Sep 2009
- Competency: Communication>Written communication; Leadership>Influence; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability>Health risks; Public Policy; Public Policy; Social Insurance>Medicare
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Medicare Advantage: Seven Considerations to Achieve August Resubmission Success
participate, in which case any changes in the direct subsidy since June are reflected in member premium ... Medicare Part D national average amounts and Medi- care Advantage (MA) regional benchmarks in late July ...- Authors: Susan Silseth, Matthew Timm, Kelly Backes, Hillary Millican
- Date: Oct 2017
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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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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Medicare Advantage risk scores – Are you competitive?
status of their populations continues to be a primary key to their success. This article updates those ... member based on ICD- 10 diagnosis codes from health care claims. A member is assigned an HCC if an ICD- 10 ...- 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