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Prevalence of Supplemental Benefits in the Medicare Advantage Marketplace: 2017 to 2021
Prevalence of Supplemental Benefits in the Medicare Advantage Marketplace: 2017 to 2021 This article ... (MA) marketplace,[1] supplemental benefits are one of the primary ways Medicare Advantage organizations (MAOs) ...- Authors: Julia Friedman
- Date: Mar 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Social Insurance>Medicare
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Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration
Reform Under The Medicare-Medicaid Financial Alignment Demonstration This article focuses on the capitation ... methodology for the Medicare-Medicaid Financial Alignment Demonstration. It also describes the background ...- 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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Medicare Advantage Star Ratings: Expectations for New Organizations
Medicare Advantage Star Ratings: Expectations for New Organizations This ... article makes organizations entering the MA market aware of the star rating climate, as well as short- ...- Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Exchanges This article compares the Prescription Drug Plan (PDP) market to the commercial individual market ... in the Affordable Care Act. PDP carrier actions to date could help predict certain aspects of the exchange ...- 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
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Medicare Advantage: Seven Considerations to Achieve August Resubmission Success
2017 HEALTH WATCH amounts differ from the amounts projected in the initial June submission. Who participates ... Organization (RPPO) plans must resubmit to reflect the published MA regional benchmarks. • MA-PD plans ...- Authors: Susan Silseth, Matthew Timm, Kelly Backes, Hillary Millican
- Date: Oct 2017
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare