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  • Medicare Advantage Star Ratings: Expectations for New Organizations
    comparison of 2018 and 2017 star rating data: • 17% of contracts are considered a “New Contract” in ... 2018 Overall Star Rating Distribution New Contract 17% Low Enrollment 7% 5 Stars 3% 4.5 Stars 11% 4 ...

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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 + Choices: Impact of Self-Selection
    about 20% lower for the HMO enrollees. Analysis of 17 plans in the Medicare competitive demonstration between ... in a small group, but every time somebody gets a 17% rate increase, by staying, they are, in fact, ...

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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
  • Medicare Advantage—Future Benchmarks
    the meantime, via national conference call on Dec. 17, 2007, CMS announced that it would propose to rebase ... Health Watch MEDICARE ADVANTAGE ... | FROM PAGE 17 “Actuaries will play an important role. Our profession ...

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    • Authors: Application Administrator
    • Date: May 2008
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Health Watch
    • Topics: Public Policy; Social Insurance>Medicare
  • Medicare Markets - The Latest Scoop
    beneficiaries in managed care plans. That was about 17% of the market place We pay about $3 billion a month ... Medicare Markets - The Latest Scoop 17 usually charge a pretty small premium. When the ...

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    • Authors: Dale C Griffin, Steven J Sherman, Edward Hindin, Jean Lemasourier
    • Date: Oct 1998
    • Competency: External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
  • Federal Regulations Affecting Health Benefits
    Federal Regulations Affecting Health Benefits 17 they're much too optimistic. If we have such a ...

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    • Authors: Mark F Olson, Thomas Ruehle, Geoffrey C Sandler, Gordon R Trapnell
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Public Policy; Social Insurance>Medicare