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Medicare Advantage risk scores – Are you competitive?
Medicare Advantage risk scores – Are you competitive? What you need to know about risk scores to be competitive in the Medicare Advantage market. Medicare;Risk adjustment;Health insurance;Return ...- 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
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Principles for U.S. Healthcare Reform
Principles for U.S. Healthcare Reform This paper offers basic, economic and actuarial ideas to improve the balance of cost, access to treatment and quality over time. Health care reform;Health ...- Authors: Richard Hauboldt, Mark E Litow, Allen J Schmitz
- Date: Jun 2009
- Competency: Leadership>Thought leadership
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
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Consistently Framing the Design and Analysis of Health Care Proposals
Consistently Framing the Design and Analysis of Health Care Proposals Essay recommending establishing a consistent and actuarially sound foundation for assessing the costs and benefits of each ...- Authors: Mark E Litow, Robert Shapiro
- Date: Jun 2009
- Competency: Leadership>Influence; Leadership>Thought leadership; Professional Values>Public interest representation
- Topics: Actuarial Profession>Ethics; Health & Disability>Health care; Social Insurance; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Social Security
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Change the Expectations in Health Care
Change the Expectations in Health Care Essay stating accessibility, affordability and efficiency are the key to success in the future of healthcare. Health economics;Health insurance;Inflation; ...- Authors: Jonathan L Shreve
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge; Leadership>Influence
- Topics: Economics; Economics>Health economics; Finance & Investments; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare
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Medicare Supplement Insurance Basics
Medicare Supplement Insurance Basics This session is about the current issues in Medicare supplement insurance basics. From Record of Society of Actuaries Vol. 19, No. 4A. Loss ratio=LR;Medicare ...- Authors: Richard Hauboldt, Dawn E Helwig
- Date: Oct 1993
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Social Insurance>Medicare
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Medicare + Choices: Impact of Self-Selection
Medicare + Choices: Impact of Self-Selection Panelists discuss different aspects of self-selection among Medicare options. From the Record of the Society of Actuaries, Vol. 24, No. 2. Budgets; ...- Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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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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Medicare Supplement Update
Medicare Supplement Update Presented at October 2000 Annual Meeting. Discusses recent enrollment and cost trends and competitive dynamics with Medicare+Choice capitated plans. Expected future ...- 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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Blending Census and Medicare Mortality Rates
Blending Census and Medicare Mortality Rates This paper presents a new method for blending census and Medicare mortality rates for the U.S. Decennial Life Tables. From the Actuarial Research ...- Authors: Jacques F Carriere
- Date: Jan 1992
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Actuarial Research Clearing House
- Topics: Demography>Population data; Social Insurance>Medicare
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Results from the SOA Long-Term Care Think Tank
Results from the SOA Long-Term Care Think Tank This article is about the most significant issues and trends that may impact long-term care LTC risks, care delivery and protection in the future.- Authors: Emily Kessler
- Date: Dec 2005
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Leadership>Thought leadership; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Long-Term Care News
- Topics: Long-term Care>Long-term care facilities & home care; Social Insurance>Medicaid; Social Insurance>Medicare