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Medicare Advantage Star Ratings: Expectations for New Organizations
comparison of 2018 and 2017 star rating data: • 17% of contracts are considered a “New Contract” in ... 2018 Overall Star Rating Distribution New Contract 17% Low Enrollment 7% 5 Stars 3% 4.5 Stars 11% 4 ...- Authors: Kelly Backes, Julia Friedman, Dustin Grzeskowiak, Elizabeth Phillips, Patricia Zenner
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
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Free Market Fix
in the United States accounts for approximately 17 percent of the Gross Domestic Product (GDP). In 2008 ... purchase insurance across state lines would eliminate 17 million people from the roles of the uninsured ...- Authors: Joseph Slater
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Leadership>Thought leadership
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicaid; Social Insurance>Medicare
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Medicare + Choices: Impact of Self-Selection
about 20% lower for the HMO enrollees. Analysis of 17 plans in the Medicare competitive demonstration between ... in a small group, but every time somebody gets a 17% rate increase, by staying, they are, in fact, ...- Authors: Gregory Delamarter, Eric L Smithback, Dale Yamamoto, Sally T Burner, Roger Schacht
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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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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Reports On Topics Of Current Interest
TRANSACTIONS OF SOCIETY OF ACTUARIES 1965 VOL. 17 PT. 1 NO. 47AB REPORTS ON TOPICS OF CURRENT INTEREST ... introduced the bill in the Senate (S. 1154) on February 17, 1965. There were twenty-six cospon- sors. The bill ...- Authors: E Sydney Jackson, JOHN H MILLER, Henry F Rood, George H Davis, Charles Mehlman
- Date: Apr 1965
- Competency: External Forces & Industry Knowledge>External forces and business performance; Professional Values
- Publication Name: Transactions of the SOA
- Topics: Actuarial Profession>Professional associations; Public Policy; Social Insurance>Medicare
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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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Medicare Markets - The Latest Scoop
beneficiaries in managed care plans. That was about 17% of the market place We pay about $3 billion a month ... Medicare Markets - The Latest Scoop 17 usually charge a pretty small premium. When the ...- Authors: Dale C Griffin, Steven J Sherman, Edward Hindin, Jean Lemasourier
- Date: Oct 1998
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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Social Insurance Programs for Health Care in Canada and the United States
Social Insurance Programs for Health Care in Canada and the United States This is a panel discussion ... TRANSACTIONS OF SOCIETY OF ACTUARIES 1965 VOL. 17 PT. 2 NO. 49 PANEL DISCUSSION SOCIAL INSURANCE ...- Authors: Daniel W Pettengill, George N Watson, J Henry Smith, C Manton Eddy
- Date: Oct 1965
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Publication Name: Transactions of the SOA
- Topics: Social Insurance>Medicare
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Federal Regulations Affecting Health Benefits
Federal Regulations Affecting Health Benefits 17 they're much too optimistic. If we have such a ...- Authors: Mark F Olson, Thomas Ruehle, Geoffrey C Sandler, Gordon R Trapnell
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Public Policy; Public Policy; Social Insurance>Medicare