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Accountable Care Organizations: An Untapped Opportunity
Accountable Care Organizations: An Untapped Opportunity Since health care reform has made accountable ... Health Affairs Blog, August 17, 2009, http://healthaffairs.org/blog/2009/08/17/the-accountable-care- or ...- Authors: Jim Toole, Sara Teppema
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
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Reforming Taiwan’s NHI with Managed Competition
September 1998 – Issue No. 17 SEPTEMBER 1998 INTERNATIONAL SECTION NEWS PAGE 17 Seminars in Asia ... program. The purpose of this continued on page 17, column 1 SEPTEMBER 1998 INTERNATIONAL SECTION ...- Authors: Chiu-Cheng Chang
- Date: Sep 1998
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
- Publication Name: International News
- Topics: Economics>Health economics; Health & Disability>Health insurance; Public Policy; Public Policy
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The Evolution of the Individual Market (Part II)
record levels.17 The beneficial changes have reignited insurer interest in ACA markets, with 17 percent ... ons.pdf (accessed December 21, 2018). 16 Ibid. 17 Fehr, Rachel, Cynthia Cox, and Larry Levitt. Individual ...- Authors: Gregory Fann
- Date: Mar 2019
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Public Policy; Public Policy
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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 ...- 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
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Medicare Advantage—Future Benchmarks
the meantime, via national conference call on Dec. 17, 2007, CMS announced that it would propose to rebase ... Health Watch MEDICARE ADVANTAGE ... | FROM PAGE 17 “Actuaries will play an important role. Our profession ...- 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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Medicare Advantage Part C Revenue: Challenges Ahead
timc@wakely.com. Health Watch | January 2013 | 17 bonus added a fixed percentage if a plan achieved ... pre-ACA. Medicare advantage part C … | froM page 17 In addition to the benchmark and rebate changes ...- Authors: Timothy Courtney
- Date: Jan 2013
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Health Watch
- Topics: Public Policy
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Summary of House of Representatives Tri-Committee Bill – H.R. 3200
individual” as defined later in this legislation. 17. Requires the Commissioner to establish plus or minus ... growth 2615 S. 159th Plaza Omaha, NE 68130 Page 17 of 28. Phone: (402) 778-0297 Fax: (402) 778-9375 ...- Authors: William Lane
- Date: Sep 2009
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare
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FEDERAL HEALTH CARE REFORM 2009: START-UP CAPITAL COSTS FOR HEALTH CARE CO-OPS AND A PUBLIC PLAN
.................................................17 EXHIBIT C – DETAILED RESULTS FOR HEALTH CARE CO-OPS ... claims incurred but not yet paid would amount to 17 percent of each year’s incurred claims. This is ...- Authors: Ian G Duncan, James Galasso, James A Geyer, Jay C Ripps, Cabe Chadick, Karl Lewis, Sara Teppema, Shari Westerfield
- Date: Oct 2009
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Public Policy; Social Insurance>Government-funded healthcare
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Providing Prescription Drug Coverage for Medicare Beneficiaries
still have patent protection. Drug patents last for 17 years, but the average time from the point a drug ... plans will only pay for generic versions of a drug.17 Mail Order Drugs Many PBMs provide mail order capabilities ...- Authors: American Academy of Actuaries
- Date: Jul 2000
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance
- Topics: Economics>Health economics; Health & Disability>Health care; Public Policy; Social Insurance>Medicare
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Small-Employer Health Insurance Purchasing Alliances
It’s run by nine different regional boards, with 17 members each. It’s an unwieldy process for the folks ... Small-Employer Health Insurance Purchasing Alliances 17 choose the HMO when they have a wide range of choices ...- Authors: James O'Connor, Harvey Sobel, Jim H Srite, Susan Jackson, Richard Figueroa
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Public Policy