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  • Design and Implementation Considerations of ACA Risk Mitigation Programs
    Design ... Society of Actuaries, All Rights Reserved Table of Contents Executive Summary ............. ... presented in Attachment C. Enrollment Table 1 summarizes projected enrollment of each individual ...

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    • Authors: James O'Connor, Adrian L Clark
    • Date: Jun 2012
    • Competency: External Forces & Industry Knowledge
    • Topics: Public Policy; Public Policy
  • The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
    payment percentages by star rat- ing are shown in the table in Figure 1. The percentage of the savings a plan ... rebate percentages by star rating are shown in the table in Figure 2. Special rules apply to low-enrollment ...

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    • Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
    • Date: May 2012
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy