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  • Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck
    Medicare Managed Care Organizations: Getting a Bigger Bang for the Buck Panel discusses the effects of reduced payment levels to many Medicare managed care organizations. From the Record of the ...

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    • Authors: Oscar Lucas, Peggy Tyndall
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; 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: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • Disease Management and the Insurance Industry
    Disease Management and the Insurance Industry Does disease management DM positively influence health care costs? According to three prestigious sources, the answer is no. From Financing Chronic ...

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    • Authors: Jaan Sidorov
    • Date: Jun 2005
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Health & Disability>Health care; Social Insurance>Medicare
  • 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? ...

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    • 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
  • Medicare Advantage Hierarchical Condition Categories: Updated Study Results
    Medicare Advantage Hierarchical Condition Categories: Updated Study Results Summary and analysis of the diseases and conditions exhibited in the Medicare Advantage population Medicare;Risk ...

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    • Authors: Corey Berger, Eric P Goetsch
    • Date: Jan 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Social Insurance>Medicare
  • Results from the SOA Long-Term Care Think Tank
    Results from the SOA Long-Term Care Think Tank This article is about the most significant issues and trends that may impact long-term care LTC risks, care delivery and protection in the future.

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    • Authors: Emily Kessler
    • Date: Dec 2005
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Leadership>Thought leadership; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Long-Term Care News
    • Topics: Long-term Care>Long-term care facilities & home care; Social Insurance>Medicaid; Social Insurance>Medicare
  • Medicare Modernization Act [MMA] - Changes to Employer Health Plans
    Medicare Modernization Act [MMA] - Changes to Employer Health Plans Panelists discuss the current implications of the Medicare Modernization Act on employer provided and employer sponsored health ...

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    • Authors: Frank R Kopenski, George Wagoner
    • Date: Jun 2005
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Linking Quality and Cost: An Analysis of the Hospital Quality Information Initiative Measures
    Linking Quality and Cost: An Analysis of the Hospital Quality Information Initiative Measures Analysis of possible mathematical relationships between hospital quality and hospital billed or ...

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    • Authors: John Cookson, Eileen A Kurtz
    • Date: Nov 2006
    • Competency: Communication; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Experience Studies & Data; Health & Disability>Health care quality; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare
  • Abstract: The Boomers Are Coming: A Total Cost of Care Model of the Impact of Population Aging on the Cost of Chronicand Acute Conditions in the United States
    Abstract: The Boomers Are Coming: A Total Cost of Care Model of the Impact of Population Aging on the Cost of Chronicand Acute Conditions in the United States This is the abstract for the paper, ...

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    • Authors: Louise H Anderson, Nancy A Garrett, E Mary Martini, Tammie Lindquist, Elaine Moses
    • Date: Jun 2005
    • Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Health & Disability>Health care; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
  • Projected Cost Analysis of Potential Medicare Pharmacy Plan Designs
    Projected Cost Analysis of Potential Medicare Pharmacy Plan Designs Research report sponsored by SOA to model and compare projected costs of different proposals for a Medicare prescription drug ...

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    • Authors: Lynette Trygstad, Timothy Feeser, Corey Berger
    • Date: Jul 2003
    • Competency: External Forces & Industry Knowledge; Leadership>Change management; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Economics>Health economics; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Forecasting; Public Policy; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
  • Adjusting for Risk Under Medicare
    Adjusting for Risk Under Medicare Panelists discuss several methods for implementation of the Balanced Budget Act requirement that the Medicare program adopt a risk adjustment mechanism for ...

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    • Authors: Application Administrator, William Lane, Patrick J Dunks, Jill Ann Stockard
    • Date: Jun 1999
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare