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  • HCFA & Medicare + Choice: Contract Year 2001 Changes
    HCFA & Medicare + Choice: Contract Year 2001 Changes Outline of changes to the ... Information Form, Issue No. 38 Managed care;Payment models=Health care payment models; 9370 8/1/2000 12:00:00 ...

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    • Authors: Anant Galande
    • Date: Aug 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicare
  • APCs - They’ll Change OutpatientHospital Contracting
    APCs - They’ll Change OutpatientHospital Contracting Discussion of Medicare's Ambulatory Payment ... calculations. Issue No. 37. Payment reforms=Health care payment reforms; 9347 4/1/2000 12:00:00 AM ...

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    • Authors: Patrick J Dunks, Nickolas Ortner
    • Date: Apr 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicare
  • SMI Trust Fund:Estimates under Alternative II Assumption forAged and Disabled Excluding End-Stage RenalDisease Enrollees
    through an independent reporting system. In a health care program with continuously increasing incurred reim- ... 2001 PENSION SECTION NEWS (3) Managed Care Services Managed care plans with contracts to provide health ...

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    • Authors: Society of Actuaries
    • Date: Sep 2001
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Pension Section News
    • Topics: Social Insurance>Medicare
  • SMI Trust Fund Estimates Under Alternative II Assumption for Aged and Disabled Enrollees Excluding End-Stage Renal Disease
    them to the time of service. • Managed Care Services Managed care plans with contracts to provide health ... services to Medicare beneficiaries are reimbursed direct- ly by CMS on either a reasonable cost or capitation ...

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    • Authors: Society of Actuaries
    • Date: Sep 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Pension Section News
    • Topics: Social Insurance>Medicare
  • Original Vs. Actuarial Results Discussion Continues
    . . . . . . 1 by Guy King Editorial: Health care reform ond malpractice . . . . . . . . . . . . ... . . . . . 4 A little known fact about health care . . . . . . . . . . . . . . . . . . . . . . . .

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    • Authors: Roland E King
    • Date: May 1994
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: The Actuary Magazine
    • Topics: Social Insurance>Medicare
  • HI Trust Fund Actuarial Methodology and Principal Assumptions
    (d) projecting increases in payments to managed care plans; and (e) projecting increases in administrative ... services purchased by hospitals for use in providing care to hos- pital inpatients. For the fiscal year 2003 ...

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    • Authors: Society of Actuaries
    • Date: Sep 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Pension Section News
    • Topics: Social Insurance>Medicare
  • Medicare Advantage experience data: pitfalls and concerns beyond ASOP #23
    Medicare Advantage experience data: pitfalls and concerns beyond ASOP #23 Medicare Advantage ... accurately complete such an allocation. MAOs must take care to comply with CMS guidance. This will minimize ...

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    • Authors: Michelle Wahab, Shelby Weber
    • Date: Mar 2019
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health information technology; Social Insurance>Medicare; Technology & Applications>Data warehousing