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Navigate through Risk-Based Capital with Success
product grouping includes commercial, Medicaid managed care and Medicare Advantage products, but it does not ... required to disclose claim payments by type of managed care arrangement, which flows to the Health Risk-Based ...- Authors: Karena Weikel, Jinjun (Sophia) Yu
- Date: Dec 2021
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Actuarial Profession; Finance & Investments
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Risk Adjustment: The Details and Why They Matter
Risk adjustment uses algorithms to predict health care costs based on the relative actuarial risk of enrollees ... plan premium payments based on expected health care costs. Some of the payment method- ology currently ...- Authors: Karena Weikel
- Date: Feb 2018
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks