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  • Navigating Cost-Sharing Reduction Subsidy Defunding
    of 73 percent, 87 percent, and 94 percent (see Table 1). Eligibility for each of the cost- sharing variants ... cost sharing was a major driver of enrollment.2 Table 1 Enrollment in CSR Plans by Eligible Income (2017) ...

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    • Authors: Michael Cohen, Peter van Laarhoven
    • Date: Mar 2019
    • Competency: Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Public Policy
  • An Actuarial Model to Improve Health and Reduce Costs
    Beckman Chronic disease accounts for 86 percent of U.S. health care costs and an ever-increasing share of ... Diabetes Association, Economic Costs of Diabetes in the U.S. in 2012, http://care.diabetesjournals.org/cont ...

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    • Authors: Ken Beckman
    • Date: Oct 2017
    • Competency: Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
  • The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
    payment percentages by star rat- ing are shown in the table in Figure 1. The percentage of the savings a plan ... rebate percentages by star rating are shown in the table in Figure 2. Special rules apply to low-enrollment ...

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    • Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
    • Date: May 2012
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy