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How to Survive and Maybe Even Benefit from Medicare Advantage and Prescription Drug Bid Reviews and Audits
How to Survive and Maybe Even Benefit from Medicare Advantage and Prescription Drug Bid Reviews and Audits Background on, and best practices guidelines for dealing with, bid reviews and audits ...- Authors: Michael Cook
- Date: May 2011
- Competency: Communication; Professional Values; Relationship Management>Relationships and trust
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Social Insurance>Medicare
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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article compares the Prescription Drug Plan (PDP) market to the commercial individual market exchanges included ...- Authors: Shelly Brandel
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
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The Impact of the 1998 BBA on Medicare Supplement Carriers
The Impact of the 1998 BBA on Medicare Supplement Carriers Issues relating to the1998 Balanced Budget Act BBA on Medicare Supplement Carriers. Discusses High-Deductible options, open enrollment ...- Authors: Dawn E Helwig, Gail M Lawrence
- Date: Dec 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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Letter from the Editors
Letter from the Editors The editors of Health Watch have made health care reform the focus of the Sepctember 2009 issue, and provide an introduction to the issue's contents. Health care ...- Authors: Grady Catterall, Mary Kindel Van der Heijde
- Date: Sep 2009
- Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; 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 and ...- Authors: Heather E Jerbi, Tim M Mahony
- Date: May 2010
- Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Influence; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Experience Studies & Data; Public Policy; Public Policy; Social Insurance>Medicare
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Medicare Supplement Insurance Claim Cost Trends
Medicare Supplement Insurance Claim Cost Trends Summary of Report examining issues affecting the cost of Medicare supplement insurance policies high trend, high outpatient hospital costs, new ...- Authors: Michael S Abroe
- Date: Dec 2000
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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Payment Reform: A Medicaid Overview
Payment Reform: A Medicaid Overview This article highlights several state's Medicaid innovatioins, including cutting edge payment changes based on episodes of care, patient outcomes, and ...- Authors: David Neiman, Thomas Carlson, Rebecca Owen
- Date: May 2013
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid
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At the Intersection of Public Health and Actuarial Practice
At the Intersection of Public Health and Actuarial Practice An edited written interview with two actuaries and a public health professional on issues related to the intersection between the two ...- Authors: Barbara Zabielski
- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability>Health care; Health & Disability>Payment models; Public Policy; Social Insurance>Medicaid
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Medicare Advantage Star Ratings: Expectations for New Organizations
Medicare Advantage Star Ratings: Expectations for New Organizations This article makes organizations entering the MA market aware of the star rating climate, as well as short- and long-term star ...- 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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Impact of the MedicarePrescription Drug, Improvementand Modernization Act on MedicareSupplement Insurance Plans
Impact of the MedicarePrescription Drug, Improvementand Modernization Act on MedicareSupplement Insurance Plans This article reviews the Medicare Prescription Drug, Improvement and Modernization ...- Authors: Dennis Hare
- Date: Mar 2005
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare