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  • LTC Bullet: Baucus means Bupkus for LTC
    LTC Bullet: Baucus means Bupkus for LTC Discussion of the implications of the newly unveiled health care reform proposal by Senator Baucus. Key issues include abandonment of the CLASS Act, ...

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    • Authors: Stephen Moses
    • Date: Dec 2009
    • Competency: Communication; Leadership>Change management; Strategic Insight and Integration>Big picture view
    • Publication Name: Long-Term Care News
    • Topics: Long-term Care>Public financing - Long-term Care; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
  • Health Care Financing Systems Around the World
    Health Care Financing Systems Around the World Presenter describes many of the desirable characteristics of a health care financing system, and alternative health care financing systems as they ...

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    • Authors: Chiu-Cheng Chang
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Global Perspectives; Health & Disability>Health care; Health & Disability>Payment models; Public Policy
  • Health Care Debate-My Way or the Wrong Way
    Health Care Debate-My Way or the Wrong Way Two nonactuarial experts representing opposing health care reform solutions present their alternative views. From Record of Society of Actuaries Vol.

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    • Authors: Nancy F Nelson, J Patrick Rooney, Steven Wander, Jan Malcolm
    • Date: Jun 1994
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy
  • Health Alliances
    Health Alliances This session discusses health alliances, a central component of the President's proposal. Their structure, operations and effect on the market have numerous actuarial ...

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    • Authors: Jay C Ripps, Donald T Weber, Greg D Kuzma
    • Date: Jun 1994
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy
  • 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? ...

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    • 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
  • 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 ...

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    • Authors: John K Kittredge
    • Date: May 1980
    • Competency: External Forces & Industry Knowledge>General business skills
    • Publication Name: The Actuary Magazine
    • Topics: Public Policy
  • Design and Implementation Considerations of ACA Risk Mitigation Programs
    Design and Implementation Considerations of ACA Risk Mitigation Programs This research report examines the potential implications of the risk mitigation programs – risk adjustment, reinsurance, ...

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    • Authors: James O'Connor, Adrian L Clark
    • Date: Jun 2012
    • Competency: External Forces & Industry Knowledge
    • Topics: Public Policy; Public Policy
  • 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/ ...

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    • 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
  • 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 ...

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    • 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
  • FEDERAL HEALTH CARE REFORM 2009: START-UP CAPITAL COSTS FOR HEALTH CARE CO-OPS AND A PUBLIC PLAN
    FEDERAL HEALTH CARE REFORM 2009: START-UP CAPITAL COSTS FOR HEALTH CARE CO-OPS AND A PUBLIC PLAN Projecting start-up capital requirements for Health care co-ops and public plans ...

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    • Authors: Ian G Duncan, James Galasso, James A Geyer, Jay C Ripps, Cabe Chadick, Karl Lewis, Sara Teppema, Shari Westerfield
    • Date: Oct 2009
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
    • Topics: Health & Disability>Health care; Public Policy; Social Insurance>Government-funded healthcare