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New Managed Care Risk-Based Capital
New Managed Care Risk-Based Capital Managed Care Risk-Based Capital new formula for HMOs and BCBS plans, modification of disability income, LTC and stop loss factors, market uses of RBC, company ...- Authors: Donna C Novak
- Date: Apr 2000
- Competency: External Forces & Industry Knowledge>Internal forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health risks
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E&R Sponsored Sessions at the June Health Meeting
E&R Sponsored Sessions at the June Health Meeting By Ian Duncan and Chuck Fuhrer Healthcare Reform;Health Economics;Health Policy By Ian Duncan and Chuck Fuhrer There are a lot of sessions at ...- Authors: Ian G Duncan
- Date: Apr 2017
- Competency: External Forces & Industry Knowledge>Internal forces and business performance; Strategic Insight and Integration>Strategy development
- Publication Name: Expanding Horizons
- Topics: Health & Disability>Public financing - Health & Disability
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To Be Continued - Geographical Indices For Health Insurance
To Be Continued - Geographical Indices For Health Insurance Early description of a Medicare data source showing geographic differences by county and state. Health care costs;Medicare; 11919 11/1/ ...- Authors: Application Administrator
- Date: Nov 1973
- Competency: External Forces & Industry Knowledge>Internal forces and business performance
- Publication Name: The Actuary Magazine
- Topics: Health & Disability; Social Insurance>Medicare
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Reasons to Reconcile
Reasons to Reconcile Financial reconciliation is critical to a successful Medicare Advantage (MA) bid. Reconciliation should be routinely revisited as new information arises. Medicare;Corporate ...- Authors: Gregory Sgrosso
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>Internal forces and business performance
- Publication Name: Health Watch
- Topics: Health & Disability>Health care
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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 ...- 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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Medicaid Encounter Data: The Next National Data Set
Medicaid Encounter Data: The Next National Data Set Summary of Medicaid encounter data, including how it is collected by health plans, transferred to state databases, used by states, and ...- Authors: Jennifer Gerstorff, Sabrina Gibson
- Date: Sep 2016
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Internal forces and business performance
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Public financing - Health & Disability
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Selling Health Insurance Across State Lines
Selling Health Insurance Across State Lines Discusses various aspects of allowing a health insurance policy approved in one state to be sold in another state without the latter's approval ...- Authors: Lawrence Mitchell
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge>Internal forces and business performance; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care