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  • Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
    Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article ... individual market exchanges included in the Affordable Care Act. PDP carrier actions to date could help predict ...

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    • 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
  • Medicare Supplement
    Medicare Supplement This session is about compliance with NAIC requirements and Medicare-Select ... ratio=LR;Medicare supplement;Payment reforms=Health care payment reforms;Preferred provider organization=PPO; ...

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    • Authors: Dawn E Helwig, Diane Seaman
    • Date: Apr 1993
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Medicare Risk Funding
    Medicare Risk Funding Two Medicare risk funding provisions that were radically changed by the BBA ... adjustment. Issue No. 36 Payment reforms=Health care payment reforms;Risk adjustment; 9337 12/1/1998 ...

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    • Authors: David Wille
    • Date: Dec 1998
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Public Policy; Social Insurance>Medicare
  • Full Medicare Part D Coverage through the Gap—an Endangered Benefit?
    Full Medicare Part D Coverage through the Gap—an Endangered Benefit? This article takes a closer ... Fixed Capitation, MA Rebate. Issue No 60 Managed care;Prescription drug costs; 9494 1/1/2009 12:00:00 ...

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    • Authors: Julia Lambert
    • Date: Jan 2009
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicare
  • Medicare Retiree Benefit Plans
    Medicare Retiree Benefit Plans Presented at May 2000 Spring Meeting. Examines benefit plan design ... plans;Health maintenance organization=HMO ;Managed care;Product development; 17832 5/1/2000 12:00:00 AM ...

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    • Authors: Dale Yamamoto, John Bagley
    • Date: May 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Record of the Society of Actuaries
    • Topics: Pensions & Retirement>Retiree medical; Social Insurance>Medicare
  • Social Security's Uncertain Future
    Social Security's Uncertain Future Article from The Actuary September ... Security's projected costs exceeding income Health care costs;Pension plan costs;Public sector pension plans=Public ...

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    • Authors: A Haeworth Robertson
    • Date: Sep 1992
    • Competency: External Forces & Industry Knowledge
    • Publication Name: The Actuary Magazine
    • Topics: Social Insurance>Medicare; Social Insurance>Social Security
  • External Influences On Health Insurance U.S.
    Medicare • Economic influences: - Financing the care of the non-paying patient - Cost shifting - Cost-effective ... last line of defense for people who need health care and can't pay for it. It is the public hospitals ...

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    • Authors: Gilbert S Omenn, Gerald J Reilly, Richard K Tompkins, Richard J Mellman
    • Date: May 1983
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare
  • Risk Adjustment Implementation Issues
    Risk Adjustment Implementation Issues Risk adjusters were first used for the Y2K reimbursements ... th care reform;Health economics;Health maintenance organization=HMO ;Hospitalization;Managed care;Medicare;Risk ...

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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
  • PSOs and Medicare + Choice from the Healthcare Delivery Systems' Perspective
    PSOs and Medicare + Choice from the Healthcare Delivery Systems' Perspective Issue No. 36. Issues ... addition of non-Medicare covered benefits. Managed care;Medicare; 9333 12/1/1998 12:00:00 AM ...

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    • Authors: Kurt Giesa
    • Date: Dec 1998
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicare
  • Medicare Cost Estimates And Experience
    Medicare Cost Estimates And Experience This article discusses Medicare cost, specifically ... effect of Medicare on the great increases in health care costs since 1965. Behavioral economics;Hospitalization; ...

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    • Authors: Robert J Myers
    • Date: Feb 1974
    • Competency: External Forces & Industry Knowledge
    • Publication Name: The Actuary Magazine
    • Topics: Social Insurance>Medicare