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Medicare Supplement: Critical Factors for Success
Medicare Supplement: Critical Factors for Success An overview of the Medicare Supplement landscape and the critical factors for successfully pricing and managing this product line amidst the ...- Authors: James Galasso, John S Cathcart, Sudha Shenoy, Kenneth Clark
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Public Policy; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration
Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration This article focuses on the capitation rate development methodology for the Medicare-Medicaid Financial Alignment ...- Authors: Michael Cook, Shelly Brandel
- Date: May 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
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Health Care 2.0—Massive Implications of System Transformation
Health Care 2.0—Massive Implications of System Transformation The healthcare industry is in the middle of extraordinary times. This article outlines the many forces driving this transformation, ...- Authors: Greger J Vigen
- Date: May 2013
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Payment models; Public Policy
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Abstracts of Health Articles from the North American Actuarial Journal
Abstracts of Health Articles from the North American Actuarial Journal Highlights of health related articles from the North American Actuarial Journal. A paper on health care reform and ...- Authors: Ian G Duncan
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy
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Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements
Pricing Issues Resulting from Budget Setting and Stoploss in ACO Arrangements This article will consider several issues arising from ACO budgeting and pricing of stoploss coverage, including: 1) ...- Authors: Anthony Rubiano
- Date: May 2012
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; 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 risks; Health & Disability>Payment models; Public Policy
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Commercial Health Care: What’s Next?
Commercial Health Care: What’s Next? This article contains a condensed summary and excerpts from a recent white paper regarding the Individual Mandate. health care reform;health economics;health ...- Authors: David Dillon
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Public Policy; Public Policy
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The Forgotten Variable in the Health Care Equation
The Forgotten Variable in the Health Care Equation Overview of public health (responsibilities, funding, challenges) and discussion of the role actuaries can play in achieving population health ...- Authors: Bethany McAleer
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Public Policy; Public Policy
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Potential Membership Shifts for Medicare Prescription Drug Plans
Potential Membership Shifts for Medicare Prescription Drug Plans Changes in CMS requirements for 2011 Medicare Part D plans aimed at reducing confusion surrounding the PDP selection process by ...- Authors: Shelly Brandel
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicare
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Letter from the Editor
Letter from the Editor The editor of Health Watch previews the articles in this issue. Audits;Health care costs;Health care reform;Investment strategy; 9564 5/1/2011 12:00:00 AM ...- Authors: Mary Kindel Van der Heijde
- Date: May 2011
- Competency: Communication>Written communication; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability; Public Policy
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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