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Managing Health Care
Managing Health Care Panel discussion focusing on managing health care costs. Health care costs;Health maintenance organization=HMO ;Inflation;Managed care;Deductible; 14890 5/1/1977 12:00:00 AM ...- Authors: Richard H Hoffman, William C Hsiao, Richard J Mellman
- Date: May 1977
- Competency: Communication>Persuasive communication; Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Big picture view
- Publication Name: Record of the Society of Actuaries
- Topics: Economics>Health economics; Public Policy; Public Policy; Social Insurance>Government-funded healthcare
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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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The Actuary & the Future of U.S. Health Insurance
The Actuary & the Future of U.S. Health Insurance Article focusing on the current and future state of health insurance in the U.S. Government-funded healthcare;Health care reform;Health ...- Authors: John A MacBain
- Date: Jun 1999
- Competency: Communication>Difficult message delivery; Communication>Persuasive communication; Leadership>Influence; Strategic Insight and Integration>Big picture view
- Publication Name: Actuary of the Future
- Topics: Health & Disability>Public financing - Health & Disability; Public Policy; Social Insurance>Government-funded healthcare
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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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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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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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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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National, State, and Provincial Health Care Insurance
National, State, and Provincial Health Care Insurance Panel discussion of national, state, and provincial developments in health care policy and regulation. Presented at the 1975 annual meeting.- Authors: Daniel W Pettengill, Alan M Thaler, Raymond L Whaley, Application Administrator
- Date: Oct 1975
- Competency: External Forces & Industry Knowledge; Professional Values>Public interest representation; Strategic Insight and Integration>Influence decisions
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy; Public Policy; Social Insurance>Government-funded healthcare
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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