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Escaping the Addiction – From Preferred Payer to Rational Pricing
Rational Pricing A proposal to reform current health care market, from a 'preferred payer' system ... Government-funded healthcare;Health care costs;Health economics;Payment reforms=Health care payment reforms; 9549 ...- Authors: Hobson Carroll
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
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The New Medicare Prescription Drug Benefit
creates a number of issues for employers and managed-care plans. Employers must determine the impact of the ... legislation in their FAS 106 valuations. Managed-care plans need to review the effect of the legislation ...- Authors: Judy L Strachan, Patrick J Dunks, MARY K WHITE
- Date: Sep 2004
- Competency: External Forces & Industry Knowledge
- Topics: Social Insurance>Medicare
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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 ...- 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
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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 ...- Authors: David Wille
- Date: Dec 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicare
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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 ...- 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
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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 ...- Authors: Julia Lambert
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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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 ...- 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
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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 ...- 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
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Recent Developments in Health Insurance Programs in the United States and Canada
Recent Developments in Health Insurance Programs in the United States and Canada This is a discussion about recent ... Actuaries 1967, Vol. 19 Pt. 2, No. 53 AB Health care costs; 2021 4/1/1967 12:00:00 AM ...- Authors: William H Burling, Morton D Miller
- Date: Apr 1967
- Competency: External Forces & Industry Knowledge
- Publication Name: Transactions of the SOA
- Topics: Social Insurance>Medicare
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New Medicare Options for Seniors
New Medicare Options for Seniors Issue No. 36. Article discusses new Medicare Options for Seniors Private ... Accounts MSA Health savings accounts=HSA;Managed care;Medicare; 9319 12/1/1998 12:00:00 AM ...- Authors: Dawn E Helwig, Gail M Lawrence
- Date: Dec 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare