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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries Explanation ... Financial planning; Health care reform; Health insurance; Health policy; Managed care; 4294991587 5/1/2012 ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Letter From the Editor
Letter From the Editor Brief description of articles contained in the newsletter. ... Public sector pension plans;Social Security;Health care reform;Taxes=Taxation;Pension plan costs;Public ...- Authors: Jeffery Rykhus
- Date: Jan 2016
- Competency: Communication>Written communication; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: In The Public Interest
- Topics: Actuarial Profession>Best practices; Pensions & Retirement>Assumptions and methods; Pensions & Retirement>Public sector plans; Public Policy
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Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea?
Bundled Reimbursement: A Step in the Right Direction, or Another Flawed Idea? An overview of ... are;Payment models=Health care payment models;Payment reforms=Health care payment reforms; 9556 9/1/2010 ...- Authors: Todd Lueders
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Public Policy; Public Policy
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Time for Reform?
Time for Reform? Recently, the SCAN Foundation, AARP, LeadingAge, and HHS funded economic ... and minuses. Long-term care=LTC;Long-term care insurance=LCTI;Long-term care policies;Medicaid;Medicare;Public ...- Authors: Robert Eaton, John O'Leary, John Cutler, Bruce Stahl
- Date: Aug 2016
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration
- Publication Name: Long-Term Care News
- Topics: Long-term Care>Long-term care insurance; Long-term Care>Public financing - Long-term Care; Public Policy; Social Insurance
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To Be Continued - Actuarial Aspects Of HMO's
To Be Continued - Actuarial Aspects Of HMO's Insurers are becoming increasingly involved ... the development and marketing of prepaid health care service plans, or Health Maintenance Organizations ...- Authors: John G Turner
- Date: Jan 1973
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations
- Publication Name: The Actuary Magazine
- Topics: Actuarial Profession>Alternative careers; Health & Disability>Health care
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Rethinking Family Tiers
Rethinking Family Tiers A closer look at family tier factor rating assumptions, and how well they reflect ... claim cost data. Assumptions;Family coverage;Health care costs; 25712 1/1/2011 12:00:00 AM ...- Authors: Kristi Bohn
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Modeling & Statistical Methods>Data mining; Technology & Applications>Analytics and informatics
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Straight Through Processing – How Much Farther?
Straight Through Processing – How Much Farther? A discussion of the efforts to implement straight ... standardization of the HIPAA form for long term care claims data. Claims processing;Data quality; 25889 ...- Authors: Sandra Latham
- Date: Dec 2010
- Competency: Communication>Written communication; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Long-Term Care News
- Topics: Actuarial Profession>Best practices; Long-term Care>Long-term care insurance
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Health Watch, Issue 79, December 2015, Health Watch
teeism;Absenteeism;Smoking and mortality;health care reform;actuarial standards of practice;Regression ... efficiency;Product development;Health risks;Health care costs;marketing and distribution 6442465062 12/1/2015 ...- Authors: Society of Actuaries
- Date: Dec 2015
- Competency: Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Professional Values>Ethical standards; Relationship Management>Team leadership; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Experience Studies & Data>Disability; Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Modeling & Statistical Methods>Modeling efficiency; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Computer science
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Estimates of the Incidence, Prevalence, Duration, Intensity and Cost of Chronic Disability Among the U.S. Elderly
Estimates of the Incidence, Prevalence, Duration, Intensity and Cost of Chronic Disability ... September 2008 issue of Long-Term Care News. Chronic illness management;Health care costs;Life expectancy; 10019 ...- Authors: P J Stallard
- Date: Feb 2009
- Competency: Communication>Written communication; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Long-Term Care News
- Topics: Actuarial Profession>Professional associations; Demography>Longevity; Experience Studies & Data>Disability; Long-term Care>Medical expenses; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Markov Chain
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Navigating Cost-Sharing Reduction Subsidy Defunding
Navigating Cost-Sharing Reduction Subsidy Defunding This paper will examine why CSR defunding ... 2020 premiums. Patient Protection and Affordable Care Act, Rate regulation, Individual health plans 3/14/2019 ...- Authors: Michael Cohen, Peter van Laarhoven
- Date: Mar 2019
- Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy