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  • Current Medicare Issues and How the American Academy of Actuaries Is Involved
    risk adjusted in the future, starting in the year 2000. Some of the issues that we identified with respect ... spring 1999, and it's to be implemented by the year 2000. The issues that we added into our paper were actually ...

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    • Authors: Application Administrator, Thomas F Wildsmith, Donna C Novak, Jill Ann Stockard, John Trout
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Ratings: Expectations for New Organizations By Kelly S. Backes, Julia M. Friedman, Dustin J. Grzeskowiak ... Advantage Bid Rebate Federal Part C Revenue Table 1 2019 Quality Bonus Payment and Rebate Percentages ...

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    • 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
  • Medicare Advantage risk scores – Are you competitive?
    Medicare ... Non-Duals Duals Av er ag e N um be r o f H CC s Member Category Average Number of HCCs Per Member ... 4 95 –9 9 Av er ag e N um be r o f H CC s Age Group Average Number of HCCs Per Member by Age ...

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    • Authors: Corey Berger
    • Date: Oct 2018
    • Competency: Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare