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  • The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
    Service The 2012 Part D summary rating consists of 17 individual measures for a Medicare Advantage Prescription ... Prescription Drug (MAPD) plan and the same 17 measures for a PDP, which are categorized into four separate ...

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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
  • Network Development Issues
    Medicare members, there’s Network Development Issues 17 only one in ten nationwide in Medicare HMOs, but ... clinics. At the end of 1995, they had 496 positions in 17 markets, which covered nine states, and an annual ...

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    • Authors: Edward Cymerys, Pennell Hamilton, Pamela Woodley, Joseph L Wilson
    • Date: Jun 1996
    • Competency: Strategic Insight and Integration>Strategy development
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Payment models