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  • The Modernization of Medigap Plans–Managing the Change
    The Modernization of Medigap Plans–Managing the Change This article discusses planning for the changes ... changes that will occur with the new Medigap policies, which will be effective on or after June 1, 2010.

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    • Authors: Gail M Lawrence
    • Date: Jan 2009
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicare
  • The Modernization of Medigap Plans-Legislative Summary
    The Modernization of Medigap Plans-Legislative Summary This article discusses the legislative summary ... summary of the changes that will occur with the new Medigap policies, which will be effective on or after ...

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    • Authors: Marianne Miller
    • Date: Jan 2009
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicare
  • Is Your Integrated Delivery System Throwing Away Free Money?
    Karan Rustagi Controlling the pricing of both the delivery and the insur-ing of health care should be powerful ... powerful. That is the theory behind an integrated delivery system (IDS), also known as a provider- sponsored ...

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    • Authors: Karan Rustagi
    • Date: Feb 2018
    • Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional development; Health & Disability>Payment models; 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 look ... Medicare Part D Coverage and the types of payment demonstration payment of the federal reinsurance amountFlexible ...

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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 Advantage Hierarchical Condition Categories: Targeting Chart Reviews
    codes to CMS will result in a higher risk score for the member and increased payments to Medicare Advantage ... Milliman's HCC prevalence study illustrates the significant variations in HCC prevalence rates by ...

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    • Authors: Corey Berger, Eric P Goetsch
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics