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Provider-Sponsored Organizations PSOs
Provider-Sponsored Organizations PSOs Conditions and required solvency standards of federal waiver to PSOs to provide Medicare+Choice products. Effect on providers, beneficiaries and employers.- Authors: John Kinney
- Date: Dec 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicare
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What the Repeal and Replacement of the Affordable Care Act Will Look Like
What the Repeal and Replacement of the Affordable Care Act Will Look Like Republicans have promised to repeal and replace the Affordable Care Act for years. Now that they have power, what will ...- Authors: Joseph Slater, Joshua Strupcewski, John Culkin
- Date: Mar 2017
- Competency: Professional Values>Public interest representation
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare
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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? ...- 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
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Principles for U.S. Healthcare Reform
Principles for U.S. Healthcare Reform This paper offers basic, economic and actuarial ideas to improve the balance of cost, access to treatment and quality over time. Health care reform;Health ...- Authors: Richard Hauboldt, Mark E Litow, Allen J Schmitz
- Date: Jun 2009
- Competency: Leadership>Thought leadership
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
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Medicare Advantage—Future Benchmarks
Medicare Advantage—Future Benchmarks This article discusses future benchmarks of Medicare and Medicare's rising costs and its relativity to the actuarial profession. Managed care;Payment ...- Authors: Application Administrator
- Date: May 2008
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Public Policy; Social Insurance>Medicare
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Soundbites from the American Academy of Actuaries’ Health Practice Council
Soundbites from the American Academy of Actuaries’ Health Practice Council Updates on the efforts of the Academy’s health practice council. its work groups and task forces, to educate health care ...- Authors: Heather E Jerbi, Melissa Stevens
- Date: Sep 2009
- Competency: Communication>Written communication; Leadership>Influence; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Health & Disability>Health risks; Public Policy; Public Policy; Social Insurance>Medicare
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LTC Bullet: Baucus means Bupkus for LTC
LTC Bullet: Baucus means Bupkus for LTC Discussion of the implications of the newly unveiled health care reform proposal by Senator Baucus. Key issues include abandonment of the CLASS Act, ...- Authors: Stephen Moses
- Date: Dec 2009
- Competency: Communication; Leadership>Change management; Strategic Insight and Integration>Big picture view
- Publication Name: Long-Term Care News
- Topics: Long-term Care>Public financing - Long-term Care; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
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Stormy Weather
Stormy Weather A discussion of fraud and abuse in the Medicare payment system, and steps to address these problems. Claims review;Personal health records;Privacy laws;Data quality; 25890 12/1/ ...- Authors: Brad S Linder
- Date: Dec 2010
- Competency: Professional Values>Ethical standards
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Payment models; Public Policy; Social Insurance>Medicare; Health & Disability>Electronic medical record
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Medicare Reform
Medicare Reform The panel offers a recap of the most recent initiatives being proposed for reform of the Medicare program. Items addressed include areas of actuarial concern, potential impacts on ...- Authors: Michael S Abroe, Dennis Hulet, William C Weller, Michael Gale, Mark A Peterson
- Date: May 2004
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Actuarial Profession>Professional associations; Public Policy; Social Insurance>Medicare
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Reactions to Medicare Reform Legislation
Reactions to Medicare Reform Legislation The panel offers a summary of the Medicare Modernization Act signed into law in 2003, which implemented sweeping changes to the Medicare program. Topics ...- Authors: Dawn E Helwig, Michael Thompson, Dale Yamamoto, John S Cathcart
- Date: Oct 2004
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy; Social Insurance>Medicare