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Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article ... individual market exchanges included in the Affordable Care Act. PDP carrier actions to date could help predict ...- Authors: Shelly Brandel
- Date: Jan 2013
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
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Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration
Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration This article focuses on the capitation ... it will be evaluated. Medicaid;Medicare;Health care reform 6442450975 5/1/2013 12:00:00 AM ...- Authors: Michael Cook, Shelly Brandel
- Date: May 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
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Prevalence of Supplemental Benefits in the Medicare Advantage Marketplace: 2017 to 2021
marketplace,[1] supplemental benefits are one of the primary ways Medicare Advantage organizations (MAOs) can ... utilization This includes adult day care, home-based palliative care, in-home support services, support ...- Authors: Julia Friedman
- Date: Mar 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Social Insurance>Medicare
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Medicare Advantage: Seven Considerations to Achieve August Resubmission Success
participate, in which case any changes in the direct subsidy since June are reflected in member premium ... Medicare Part D national average amounts and Medi- care Advantage (MA) regional benchmarks in late July ...- Authors: Susan Silseth, Matthew Timm, Kelly Backes, Hillary Millican
- Date: Oct 2017
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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Medicare Advantage Star Ratings: Expectations for New Organizations
traditional FFS Medicare Part A (hospital and long- term care services) and Part B (outpa- tient and professional ... Prescription Drug Plans (PDPs), Program of All- Inclusive Care for the Elderly (PACE) plans, Cost plans, Medicare- ...- 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