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Health Alliances
Health Alliances This session discusses health alliances, a central component of the President's proposal. Their structure, operations and effect on the market have numerous actuarial ...- Authors: Jay C Ripps, Donald T Weber, Greg D Kuzma
- Date: Jun 1994
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy
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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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Opinion - The Opportunity Of A Generation To Change The Health Care Game
Opinion - The Opportunity Of A Generation To Change The Health Care Game An article in which Robert Laszewski, a Washington health policy strategist, tells us, actuarial science has never been ...- Authors: Robert Laszewski
- Date: Jan 1994
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: The Actuary Magazine
- Topics: Public Policy
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National, State, and Provincial Health Care Insurance
National, State, and Provincial Health Care Insurance Panel discussion of national, state, and provincial developments in health care policy and regulation. Presented at the 1975 annual meeting.- Authors: Daniel W Pettengill, Alan M Thaler, Raymond L Whaley, Application Administrator
- Date: Oct 1975
- Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy; Public Policy; Social Insurance>Government-funded healthcare
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Health Care Reform: State Developments
Health Care Reform: State Developments A discussion by several experts of reform activity at the state level will be included. What can be learned from reforms to date? What is likely to happen ...- Authors: James O'Connor, Troy Pritchett, James F Hall, John C Vataha, Michelle M Mihalo
- Date: Jun 1995
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability; Public Policy
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Consumer Data Discussion Response
Consumer Data Discussion Response This Letter to the Editor is a response by the author of the article 'Predictive Modeling with Consumer Data' to two previously published Letters ...- Authors: Ksenia Whittal
- Date: Feb 2012
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: The Actuary Magazine
- Topics: Public Policy
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Implementing the ACA: An Actuarial Perspective
Implementing the ACA: An Actuarial Perspective Interviews with several actuaries who are subject matter experts in the health field to get their perspectives on implementing the Affordable Care ...- Authors: Karin Swenson-Moore
- Date: Dec 2013
- Competency: Professional Values>Practice expertise; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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SOA Research—Making an Impact
SOA Research—Making an Impact Developing a formal strategy to guide the SOA’s activities with respect to public policy-related topics is underway. Recent experience shows that non-partisan ...- Authors: Gregory Heidrich
- Date: Jun 2013
- Competency: Professional Values>Public interest representation
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Professional associations; Public Policy; Public Policy
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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