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  • What the Repeal and Replacement of the Affordable Care Act Will Look Like
    Affordable Care Act Will Look Like Republicans have promised to repeal and replace the Affordable Care Act ... Republican health care reform look like? Government-funded healthcare;Health care reform;Health policy;Health ...

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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
  • 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 ...

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    • 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
  • Medicare Savings Account: Medicare's Private Alternative Low-Cost Plan Option
    Medicare Savings Account: Medicare's Private Alternative Low-Cost Plan Option Article describes ... insurance companies. Medicare;Health insurance;Health care costs 6442459388 1/1/2015 12:00:00 AM ...

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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
  • A Comparison Between the ACA Exchange and Medicare Risk Adjustment Programs
    A Comparison Between the ACA Exchange and Medicare Risk Adjustment Programs Risk adjustment is ... Health risks;Patient Protection and Affordable Care Act;Medicare;Risk modeling;Risk transfer 6442459390 ...

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    • 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
  • 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 ...

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    • 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
  • Medicare Advantage: Changes and Updates to enhanced benefits
    incentivize the appropriate use of health care services. The primary avenue for providing such items and services ... more were added for the 2019 plan year. The CHRONIC Care Act, included in the Bipartisan Budget Act of 2018 ...

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    • Authors: Nicholas Johnson, Michael Polakowski
    • Date: Mar 2019
    • Competency: External Forces & Industry Knowledge; External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare
  • Medicare Advantage risk scores – Are you competitive?
    status of their populations continues to be a primary key to their success. This article updates those ... member based on ICD- 10 diagnosis codes from health care claims. A member is assigned an HCC if an ICD- 10 ...

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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
  • 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- ...

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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
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