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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
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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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Letter from the Editor
previously undiagnosed at-risk patients to improve care management more efficiently. The next two articles ... marketed toward filling in the “holes” in health care coverage. Rebecca Owen has authored an article ...- Authors: Marilyn Medved McGaffin
- Date: Mar 2017
- Competency: Communication>Written communication; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance
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A Look At The French Health Insurance Market
disengagement of the Nacional Health Care Prcgram, health care supplemental insztrance plays an increasittg ... increasittg role in the Frtzncb heahh care system. MutuaLs [mutual insurance institattions identified with ...- Authors: Veronique Crouzy
- Date: Jan 1995
- Competency: Strategic Insight and Integration>Big picture view
- Publication Name: The Actuary Magazine
- Topics: Health & Disability>Health insurance
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Health Insurance
annual report on public attitudes towards the health care system. The survey was carried out be- tween May ... large satisfied with the quality of care provided by the health care system and is satisfied with the ...- Authors: Application Administrator
- Date: Jun 1979
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: The Actuary Magazine
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
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Impressions of a U.S. Health Actuary Working in Brazil
long-term opportunity in the Brazil- ian health care business is tremendous. Is it right to think of ... continuation of the rapid growth of the Brazilian health care market? Long term, yes. Short term, no. As an actuary ...- Authors: Ronald Poon-Affat
- Date: Jun 1999
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: International News
- Topics: Global Perspectives>Expatriate experience; Health & Disability>Health insurance
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Brazilian Health Industry
members) perhaps most importantly, the Brazilian care facilities. A directory of and accounts for 22% ... The world’s attention turned to Brazil expenses if care is provided by a clinic affordable plan than the ...- Authors: Ronald Poon-Affat
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: International News
- Topics: Health & Disability>Health insurance; Public Policy
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Is there currently an underwriting cycle?
substantial federal grants under the Affordable Care Act (ACA) to enhance their rate review procedures ... for certain risks and given the current health care environment. This analysis considers the 1999–2011 ...- Authors: Mark Shaw
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Capital management - ERM; Enterprise Risk Management>Systematic risk; Health & Disability>Health insurance