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  • Session 092: Leveraging CMS’ public use files and research data to drive competitive and strategic positions as well as improve healthcare operations
    closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... Determined by QE Data Access & Matching No matching No direct data, must use SAS platform, matching available ...

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    • Date: May 2019
    • Competency: Strategic Insight and Integration
    • Topics: Experience Studies & Data>Policyholder or participant behavior - Experience ; Social Insurance>Medicare
  • Recent Developments on the Medicare Modernization Act [MMA]
    creates a number of issues for employers and managed-care plans. Employers must determine the impact of the ... legislation in their FAS 106 valuations. Managed-care plans need to review the effect of the legislation ...

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    • Authors: Dawn E Helwig, Martin Hill, Don Zhang
    • Date: Jan 2005
    • Competency: External Forces & Industry Knowledge
    • Topics: Social Insurance>Medicare
  • Medicare Prescription Drugs
    has more than 12 years of experience in the health care field. In 2003, Corey presented an actuarial equivalence ... asked, "What happened in 2003 and why should you care?" That, perhaps, is not a question that's terribly ...

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    • Authors: Janet Carstens, Corey Berger, Brian Glassman, Ted Marmor
    • Date: May 2004
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Medicare Reform: What Has Happened and What Can Happen?
    Rick Foster. He is the chief actuary of the Health Care Financing Administration (HCFA) and a former deputy ... & Young, he has been involved directly in health care, and, of course, Medicare has been a big part of ...

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    • Authors: Richard Foster, Roland E King, Harry L Sutton, Frederick B Abbey
    • Date: Oct 1996
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Social Insurance>Medicare
  • Issues and Trends in Medicare Supplement Insurance
    statistics that we have derived from the NAIC data. Direct writing companies submit their Medicare supplement ... called for a study comparing the cost, quality of care and access to service under Medicare Select policies ...

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    • Authors: John S Cathcart, Garry R Reed, Kenneth Clark
    • Date: Jun 2003
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Medicare Risk Contracts
    community rate (ACR) filing process with the Health Care Financing Administration (HCFA). MEDICARE RISK ... allowed HMOs to contract with HCFA to provide health care coverage to Medicare beneficiaries on either a cost ...

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    • Authors: Frank R Kopenski, Kenneth E Leinbach
    • Date: Jun 1996
    • Competency: External Forces & Industry Knowledge; Professional Values>Practice expertise
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Social Insurance>Medicare
  • Back to the Future with Medicare: What Lies Ahead?
    associate administrator for management at the Health Care Financing Administration (HCFA). He has been the ... Benefits Inpatient hospital care Physician services Skilled nursing care Outpatient hospital services ...

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    • Authors: Application Administrator, Richard Foster, Roland E King, Joseph Antos, Robert Lynch
    • Date: Jun 1996
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Social Insurance>Medicare
  • Medicare Supplement Insurance Basics
    HAUBOLDT • Current issues MS. DAWN E. HELWIG: The primary issues we want to focus on are: (1) what some of ... September 15, but it hasn't been signed yet. The Health Care FinancingAdministration believesthat it's going ...

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    • 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
  • Medicare Modernization Act [MMA] - Changes to Health Plans
    Association. He has extensive experience in managed care, government programs, senior markets, MA, disease ... book, Implementing a Successful Medicare Managed Care Product. Patrick J. Dunks, who will be speaking ...

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    • Authors: John S Cathcart, Patrick J Dunks, Jack Keck, Stephen P Wood
    • Date: Jun 2005
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Medicare
    benefits, and the disability amendments. The health care provisions aptly referred to by members of the House ... primarily around a 60-day semiprivate benefit for bed care, with a $40.00 deduct- ible. It also provides diagnostic ...

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    • Authors: Gary K Drown, John S Moyse, Charles Schaller-Kelly, GILBERT W FITZHUGH, JOHN H MILLER
    • Date: May 1965
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Transactions of the SOA
    • Topics: Social Insurance>Medicare