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  • Session 26PD: MA-PD Market: Entry and Expansion
    there “must-have” providers (hospitals, IPAs, Primary care groups etc…) Plan Types. General Enrollment ... Supplemental files – chart chases  Why does the provider care?  Trouble getting charts – could affect RADV audit ...

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    • Authors: Society of Actuaries, Audrey L Halvorson, Jonathan Hendrickson
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration
    • Topics: Health & Disability>Health insurance
  • Health Predictive Analytics Seminar
    Health Predictive Analytics Seminar The Health Predictive Analytics Seminar is an interactive, ... models developed by analysts. Health, Long Term Care Insurance and Modeling Section members will also ...

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    • Authors: Society of Actuaries, Ian G Duncan, Sreenivas Konda
    • Date: Mar 2018
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Analytics and informatics
  • Session 8 Lecture: Future of Medicare Advantage: Trends of an Expanding Market
    typical MA-PD plan? • Coordinating Care • Network Access and care management • Trends in the Industry ... Medicare-FFS benefits • Formulary designs • Focus on Care Coordination • Challenges for Insurers Chronic ...

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    • Authors: Society of Actuaries, Haitham Aly, David Hayes, Gregory Sgrosso
    • Date: Jun 2018
    • Competency: Strategic Insight and Integration
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare
  • Healthcare Risk Adjustment & Predictive Modeling (predicting hospital readmission, draft chapter 20)
    [4]. Thus, in order to promote better quality of care, increase hospital efficiency and to reduce healthcare ... in November 2012. Section 3025 of the Affordable Care Act added section 1886(q) to the Social Security ...

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    • Authors: Society of Actuaries
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health insurance; Modeling & Statistical Methods>Regression analysis; Technology & Applications>Analytics and informatics
  • Entry into New Fields
    Entry into New Fields 1959 SOA Regional Meeting in Atlanta. This discussion covered the advantages ... problem is overinsurance which should be watched care- fully. Insurance other than on residences proved ...

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    • Authors: Society of Actuaries
    • Date: Jun 1959
    • Competency: Strategic Insight and Integration
    • Publication Name: Transactions of the SOA
    • Topics: Annuities>Group plans - Annuities; Health & Disability>Health insurance; Life Insurance; Pensions & Retirement