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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
  • 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 ...

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    • 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
  • Medicare + Choices: Impact of Self-Selection
    Medicare + Choices: Impact of Self-Selection Panelists discuss different aspects of self-selection among Medicare options. From the Record of the Society of Actuaries, Vol. 24, No. 2. Budgets; ...

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    • 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
  • A Comparison Between the ACA Exchange and Medicare Risk Adjustment Programs
    A Comparison Between the ACA Exchange and Medicare Risk Adjustment Programs Risk adjustment is used to adjust the revenue stream to health insurers that sell ACA eligible plans and Medicare ...

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    • Authors: Kurt Wrobel
    • Date: Jan 2015
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
  • Similarities between Medicare Prescription Drug Plans and Commercial Exchanges
    Similarities between Medicare Prescription Drug Plans and Commercial Exchanges This article compares the Prescription Drug Plan (PDP) market to the commercial individual market exchanges included ...

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    • Authors: Shelly Brandel
    • Date: Jan 2013
    • Competency: Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Social Insurance>Medicare
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Medicare Advantage Star Ratings: Expectations for New Organizations This article makes organizations entering the MA market aware of the star rating climate, as well as short- and long-term star ...

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    • 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
  • Current Medicare Issues and How the American Academy of Actuaries Is Involved
    Current Medicare Issues and How the American Academy of Actuaries Is Involved The American Academy of Actuaries is engaged in several projects that proactively examine the future status of the ...

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    • Authors: Application Administrator, Thomas F Wildsmith, Donna C Novak, Jill Ann Stockard, John Trout
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; Strategic Insight and Integration>Big picture view
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
  • Medicare Advantage: Seven Considerations to Achieve August Resubmission Success
    Medicare Advantage: Seven Considerations to Achieve August Resubmission Success Strategies to position Medicare Advantage plans for success during August resubmission. rebate reallocation; ...

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    • Authors: Susan Silseth, Matthew Timm, Kelly Backes, Hillary Millican
    • Date: Oct 2017
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Best practices; Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicare
  • The Actuarial Value of Original A/B Medicare
    The Actuarial Value of Original A/B Medicare This article examines the concept of Actuarial Value, especially as it applies to the Medicare plan of benefits. It discusses the cost-sharing ...

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    • Authors: Daniel W Bailey
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare
  • Medicare Advantage: Changes and Updates to enhanced benefits
    Medicare Advantage: Changes and Updates to enhanced benefits Discussion of recent laws and regulatory changes that have provided Medicare Advantage plans greater flexibility in benefit offerings ...

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    • Authors: Nicholas Johnson, Michael Polakowski
    • Date: Mar 2019
    • Competency: External Forces & Industry Knowledge; External Forces & Industry Knowledge>External forces and business performance
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Social Insurance>Medicare