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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
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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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Part of the HMO Story
Part of the HMO Story Reviews the book, HMOs and the Politics of Health System Reform, by Joseph Falkson which discusses HMOs' legislative and regulatory structuring. Health maintenance ...- Authors: John K Kittredge
- Date: May 1980
- Competency: External Forces & Industry Knowledge>General business skills
- Publication Name: The Actuary Magazine
- Topics: 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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Medicare Advantage—Future Benchmarks
Medicare Advantage—Future Benchmarks This article discusses future benchmarks of Medicare and Medicare's rising costs and its relativity to the actuarial profession. Managed care;Payment ...- Authors: Application Administrator
- Date: May 2008
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Public Policy; 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 of the Academy’s health practice council. its work groups and task forces, to educate health care ...- 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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Commercial Health Care: What’s Next?
Commercial Health Care: What’s Next? This article contains a condensed summary and excerpt from the fourth white paper in the Commercial Health Care: What’s Next? series. health care reform;risk ...- Authors: David Dillon
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Public Policy
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Early Findings from the ACA's Medicaid Expansion
Early Findings from the ACA's Medicaid Expansion Analysis of data from three Medicaid managed care plans examines enrollment and cost trends for newly eligible enrollees under the ...- Authors: Richard Marko, Sabrina Gibson, Joshua Kuai, Mitchell Cole
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicaid
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On Health Care Reform
On Health Care Reform Feature article from the January 2010 issue of In The Public Interest discussing the reform of the U.S. health care system. Health care reform;Health policy; 9577 1/1/2010 ...- Authors: Frederick Kilbourne, Mark E Litow
- Date: Jan 2010
- Competency: Professional Values>Public interest representation
- Publication Name: In The Public Interest
- Topics: Public Policy