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Improving Medicare Advantage Star Ratings: An Analytical Framework
An Analytical Framework data collection year. Table 1 shows the various elements of the star-ratings ... previous years through the most recent year (Table 2). Table 1 CMS Star-Rating System Timeline Data Collection ...- Authors: Puneet Budhiraja, Rajesh Munjuluri
- Date: Oct 2018
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Technology & Applications>Analytics and informatics
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December 2019 issue of Health Watch
TIMELINE FOR MEDICARE ADVANTAGE STAR RATINGS The table below illustrates the various aspects of the Star ... impact a Medi- care Advantage plan financially. Table A1 below gives the breakdown of the Quality Bonus ...- Authors: Society of Actuaries
- Date: Jan 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability
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Seasonal Flu Impacts: Flu Science Meets Actuarial Science
WHO recommendations and make a final decision for U.S. vaccine production.5 Production of the vaccines ... or type B virus is predominant.7 Also note that U.S. flu vaccine effectiveness data isn’t avail- able ...- Authors: Bethany McAleer
- Date: Oct 2018
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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Changing With the Times: The Past and the Future of ACA Risk Adjustment
on the other hand, originate directly from the U.S. Department of Health and Human Services (HHS), ... Insurance Coverage in Exchanges in States (CHOICES) to U.S. Department of Health and Human Services Secretary ...- Authors: Jason Karcher , Cameron Kevin Gleed, Jason James Petroske
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Affordable Care Act (ACA)
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Health Watch, August 2020, Issue 99
members. A model like this leaves a lot on the table, but it serves the purpose of illustrating the ... tends to increase potential donor consent rates. Table 1 presents a summary of examples of possible applications ...- Authors: Society of Actuaries
- Date: Aug 2020
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability
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The Actuarial Memorandum in Support of the Health Statement
only. Using a report format with specific section(s) for the narrative and technical components is recommended ... ing on the actuarial opinion along with the reason(s) for the alternate wording, in accordance with Section ...- Authors: Annette James, Nancy Hubler
- Date: Oct 2018
- Competency: Communication>Written communication; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>General business skills; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance