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Medicare Advantage Star Ratings: Expectations for New Organizations
traditional FFS Medicare Part A (hospital and long- term care services) and Part B (outpa- tient and professional ... Prescription Drug Plans (PDPs), Program of All- Inclusive Care for the Elderly (PACE) plans, Cost plans, Medicare- ...- Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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A Conversation with Alan Mills, ND, FSA
the U.S. health care system. It had become clear to me that to solve our health care system problems ... I could do it for a health care system, perhaps even the U.S. health care system. Mary: From there, ...- Authors: Mary Moran
- Date: Jan 2014
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods>Simulation
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ERM Opportunities for Health Practitioners
will drive the level of commitment to ERM. The primary findings of this research project are 1. Health ... with specific expertise tied to the company’s primary risks. Actuaries have a broad set of skills that ...- Authors: Max Rudolph
- Date: May 2010
- Competency: Communication; External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Best practices; Enterprise Risk Management; Enterprise Risk Management>Compliance
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Is That Your Final Answer? Face the Challenge of the Future
mation. Traditional medical carriers and managed care organizations alike are finding it increasingly ... market intelligence basics: premium adequacy, managed care value, and operations management. Don’t Be Afraid ...- Authors: Lindsay Resnick
- Date: Apr 2000
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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ORSA 101 for Health Actuaries
And those of us whose work is touched by health care reform tend to spend a lot of our time reading ... the risk from under- pricing in the Affordable Care Act (ACA) markets in 2014 may be modest. Separately ...- Authors: Daniel Perlman, Douglas Norris
- Date: May 2016
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks