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  • Medicare Savings Account: Medicare's Private Alternative Low-Cost Plan Option
    Medicare Savings Account: Medicare's Private Alternative Low-Cost Plan Option Article describes ...

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    • Authors: Mark Peterson
    • Date: Jan 2015
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare
  • SIPF Goes to the Health Meeting
    including a session on the ACA and a session on CMS's Direct Contracting Model. By Stephanie Entzminger ... Section sponsored two sessions: “An Update on CMS’s Direct Contracting Model: Are We Ready?,” presented ...

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    • Authors: Stephanie Dawn Entzminger , Marilyn Medved McGaffin, Gregory Fann
    • Date: Jul 2021
    • Competency: External Forces & Industry Knowledge
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health insurance; Public Policy; Social Insurance; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare; Health & Disability>Affordable Care Act (ACA)
  • Medicare + Choices: Impact of Self-Selection
    a specific HMO, it takes into account projected U.S. per capita cost, historical county per capita ... been available. Medicare records contain only mortality and limited hospitalization data. Now, this, ...

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    • Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
  • Senior Health Products - Medicare Supplements and More
    century, the over-age-65 market represented 4% of the U.S. population. Today, in 1995, it represents a little ... large, very interesting report called Healthy People 2000 [Health and Human Services Department, DHHS Publication ...

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    • Authors: H Lund
    • Date: Apr 1995
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Medicare
  • 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 Managed Care Organizations: Getting a Bigger Bang for the Buck
    and home care are scheduled to be in place by 2000. These changes will result in the need for many ... intended to be budget neutral. Also, in the year 2000 there will be risk status adjustment. All of these ...

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    • Authors: Oscar Lucas, Peggy Tyndall
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; 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
  • Bonus!
    Actuary theactuarymagazine.org34 APR/MAY 16 35 A s most are aware, the passage of the Patient Protection ... provide Medicare-eligible individuals (generally U.S. citizens over age 65, as well as some disabled ...

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    • Authors: Bradley James Piper, Julia Friedman
    • Date: Apr 2016
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: The Actuary Magazine
    • Topics: Health & Disability>Health care quality; Health & Disability>Health insurance; Social Insurance>Medicare
  • The Actuarial Value of Original A/B Medicare
    individual medi- cal insurance plan sold in the U.S. commercial market for those under 65. It is closer ... AV calculation for Medicare. This is shown in Table I-3 of the Announcement. At 84 percent, FFS Medicare ...

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    • Authors: Daniel W Bailey
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare
  • 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 ...

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    • 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