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Health Section News
Member Damian A. Birnstihl, Council Member Craig S. Kalman, Council Member John C. Lloyd, Council Member ... approximately 15 percent of the costs after the member ’s out-of- pocket expenses are greater than $3,600. The ...- Authors: William Lane, Stephen P Melek, Jonathan L Shreve, Karl Volkmar, Dennis Hare, Corey Berger, Jill Van Den Bos, John Watkins
- Date: Mar 2005
- Publication Name: Health Watch
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Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews Identifying ... payments to Medicare Advantage plans. Milliman's HCC prevalence study illustrates the significant variations ...- Authors: Corey Berger, Eric P Goetsch
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
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Medicare Advantage risk scores – Are you competitive?
Medicare ... Non-Duals Duals Av er ag e N um be r o f H CC s Member Category Average Number of HCCs Per Member ... 4 95 –9 9 Av er ag e N um be r o f H CC s Age Group Average Number of HCCs Per Member by Age ...- 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
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Medicare Advantage Hierarchical Condition Categories: Updated Study Results
Medicare Advantage Hierarchical Condition Categories: Updated Study Results Summary and analysis of the ... ESRd members. (2) Regions are based on the U.S. census definitions. a diabetes HCC who do not ...- Authors: Corey Berger, Eric P Goetsch
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks; Social Insurance>Medicare
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What Will Be the Impact of theNew Medicare PrescriptionDrug Benefit?
What Will Be the Impact of theNew Medicare PrescriptionDrug Benefit? This article provides ... approximately 15 percent of the costs after the member ’s out-of- pocket expenses are greater than $3,600. The ...- Authors: Corey Berger
- Date: Mar 2005
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare