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  • Risk Adjustment Implementation Issues
    Risk Adjustment Implementation Issues Risk adjusters were first used for the Y2K reimbursements to Medicare+Choice laws. How did plans fare? What was the financial impact to the Medicare program? ...

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    • Authors: John Bertko, Craig Schmid, Mel Ingber
    • Date: May 2000
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Social Insurance>Medicare
  • Medicare+Choice
    Medicare+Choice This session on Medicare+Choice [M+C] includes an update on risk adjustment methodology, legislative developments that are impacting the M+C program and measures taken by ...

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    • Authors: John Bertko, John Fritz
    • Date: Jun 2003
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Carriers' Choice on Medicare+Choice: Its Future Viability
    Carriers' Choice on Medicare+Choice: Its Future Viability The presentation discusses the history of the Medicare+Choice [M+C] program and the challenges faced by plans offering the program, ...

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    • Authors: John Bertko, Robert Gordon Cosway, John Fritz, Clare M McFarland
    • Date: Jun 2002
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare