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A Comparison Between the ACA Exchange and Medicare Risk Adjustment Programs
77 Health Watch | January 2015 | 17 A Comparison Between the ACA Exchange and Medicare ... Between the ACA Exchange and Medicare | FROM PAGE 17 Risk Score Basis Applicable Payment Period Historical ...- Authors: Kurt Wrobel
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
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Health Watch, February 2018, Issue 85
FPL 24% 150–200% FPL 17% 200–250% FPL 3% FEBRUARY 2018 HEALTH WATCH | 17 Nineteen State Attorneys ... reimbursements; spread evenly across all plans. 17 Silver Load Insurers load premiums to cover loss ...- Authors: Society of Actuaries
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does It?
program appeared in the Annals of Family Medicine.17 While the PCCM program has improved access, enhanced ... Findings Are False. PLoS Medicine, August 2005. 17 Phillips, R.L., M. Han, S.M. Petterson, L.A. Makaroff ...- Authors: Tia Sawhney, Bruce Pyenson
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Health & Disability>Payment models
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Why so Many People Have Untreated Mental Health Conditions
health issues.” I am not talking about only the one in 17 Americans who lives with a diagnosed serious mental ... mental health issue. JUNE 2018 HEALTH WATCH | 17 • Mental illness is associated with an increased ...- Authors: Dawn Motovidlak
- Date: Jun 2018
- Competency: Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- 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>Health risks; Health & Disability>Payment models
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Health Watch, October 2018, Issue 87
Society of Actuaries (SOA) 2018_caa_ad.indd 1 11/2/17 10:54 AM 16 | OCTOBER 2018 HEALTH WATCH Medicare ... findings include: OCTOBER 2018 HEALTH WATCH | 17 • The average number of HCCs varies meaningfully ...- Authors: Society of Actuaries
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Provider Risk Sharing Boot Camp for Health Actuaries
infection. Medicare Attribution Quiz – The Sequel 17 • Sees her family physician, Dr. Prativadi, only ... How is the U.S. health care system performing? 17 1. It’s expensive 2. The outcomes are mediocre ...- Authors: Colleen Audrey Norris
- Date: Nov 2018
- Competency: External Forces & Industry Knowledge; Professional Values; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
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Medicare Advantage risk scores – Are you competitive?
Medicare Advantage risk scores – Are you competitive? What you need to know about risk scores to be ... findings include: OCTOBER 2018 HEALTH WATCH | 17 • The average number of HCCs varies meaningfully ...- 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
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Health Care Reform: Essential Health Benefits and Actuarial Value
the age of 19 years. AUGUST 2015 THE ACA@5 | 17 CONTINUED ON PAGE 18 ically define or provide cover- ... Medical Prescription Drug Total Platinum 14% 29% 17% Gold 7% 15% 9% Silver 1% 14% 3% Bronze 0% 0% ...- Authors: Catherine Knuth
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch, June 2017, Issue 83
Health Watch, June 2017, Issue 83 Read the June 2017 issue of Health Watch, published by the Health ... measure and monitor risk. JUNE 2017 HEALTH WATCH | 17 ENDNOTES 1 EBRI Issue Brief No. 419, “Sources of ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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Health Watch, March 2017, Issue 82
Health Watch, March 2017, Issue 82 Read the March 2017 issue of Health Watch, published by the ... EE+Spouse EE+Children Family Distribution A 63% 11% 9% 17% Distribution B 49% 15% 10% 26% Distribution C ...- Authors: Society of Actuaries
- Date: Mar 2017
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability