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Risk Adjustment in State Medicaid Programs
expenditures for these individuals. The following table lists some of the states using or in the process ... in the table above is a combi- nation of several sources2,3 and the authors’ 1 4 | J a n u a r y 2 ...- Authors: Robert Damler, Ross Winkelman
- Date: Jan 2008
- Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid
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Payment Reform: A Medicaid Overview
Payment Reform: A Medicaid Overview This article highlights several state's Medicaid ... Overview This article highlights several state's Medicaid innovatioins, including cutting edge payment ...- Authors: David Neiman, Thomas Carlson, Rebecca Owen
- Date: May 2013
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid
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At the Intersection of Public Health and Actuarial Practice
effective. Despite actuaries’ major role in the U.S. health care system, even a basic overview of the ... significant predictors of health outcomes. More excess mortality in the United States, for instance, is attributable ...- Authors: Barbara Zabielski
- Date: Oct 2017
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability>Health care; Health & Disability>Payment models; Public Policy; Social Insurance>Medicaid
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Escaping the Addiction – From Preferred Payer to Rational Pricing
Escaping the ... P F O U r W In n E r S O F T H E H E A l T H W A T C H A r T IC l E C O n T E S T Escaping ... P F O U r W In n E r S O F T H E H E A l T H W A T C H A r T IC l E C O n T E S T to put ...- 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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Medicaid Innovation: The Need for Actuaries in the Medicaid Program
– – – – 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015* Millions of Medicaid Beneficiaries ... Health Spending Given its important role in the U.S. health care system over the past 50 years, it is ...- Authors: Christine Bach
- Date: May 2016
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid
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New Member Impact on Medicaid Managed Care Costs
unemployment increases in their geographic region (see Table 1). The markets studied included Arizona, Maryland ... have, on average, higher health care costs (see Table 2) the study showed that the proportion of short– ...- Authors: Bela H Patel Fernandez, Jeffrey L Smith
- Date: Feb 2010
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Economics>Health economics; Experience Studies & Data>Morbidity; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
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Medicaid Expansion under the Affordable Care Act
demographics of the current Medicaid program. Table 1 illustrates the fiscal year 2009 enrollment distribution ... distribution by general eligibility groupings.2 Table 1: 2009 Medicaid enrollment by eligibility group ...- Authors: Robert Damler
- Date: Oct 2013
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Social Insurance>Medicaid
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What the Repeal and Replacement of the Affordable Care Act Will Look Like
3 “Filibuster in the United States Senate,” U.S. Senate, http://www.senate.gov/ artandhistory/hi ... ter- Way-HealthCare-PolicyPaper.pdf. 8 Avik S. A. Roy, “Transcending Obamacare: A Patient-Centered ...- Authors: Joseph Slater, Joshua Strupcewski, John Culkin
- Date: Mar 2017
- Competency: Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare
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Letter to the Editor
Letter to the Editor Budget concerns should not be allowed to override sound actuarial rate development ... America. ISSUE 64 SEpTEmBEr 2010 Health Watch A s states try to balance their budgets, we are seeing ...- Authors: Sabrina Gibson
- Date: Sep 2010
- Competency: Communication>Difficult message delivery; External Forces & Industry Knowledge>Actuarial methods in business operations; Professional Values>Ethical standards; Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Actuarial Profession>Code of Conduct; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
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At the Intersection of Risk Adjustment and Social Determinants of Health
Determinants of Health By Sudha Shenoy and Gail S. Stone Risk adjustment (RA) is the statistical process ... be reached at sushenoy@evolenthealth.com. Gail S. Stone, FSA, MAAA, is director, Actuarial Services ...- Authors: Sudha Shenoy, Gail Stone
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
- Publication Name: Health Watch
- Topics: Social Insurance>Medicaid