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Medicaid Reform: Block Grants and More
Medicaid Reform: Block Grants and More This presentation from Session 116PD of the SOA 1996 Orlando ... 22, No. 3. Health care quality;Health maintenance organization=HMO ;Managed care; 17258 10/1/1996 ...- Authors: James N Roberts, Patricia MacTaggart, Eugene A Grasser
- Date: Oct 1996
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Social Insurance>Medicaid
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Session 030: Medicaid Final Rule Updates
closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities ... Credentialed Actuaries and 50 Actuarial Students. • Health care actuarial work for 30+ years, the last ½ devoted ...- Authors: Michael E Nordstrom , Jaredd Martin Keith Simons
- Date: Jun 2019
- Competency: External Forces & Industry Knowledge
- Topics: Social Insurance>Medicaid
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Session 102: Medicaid Hot Topics
Medicaid Actuary for WellCare Health Plans. • Health care for 20+ years. • Medicaid for 13 years - mostly ... Actuarial Standard of Practice on Medicaid Managed Care Rate Setting – ASOP 49. • Active with the Medicaid ...- Authors: Sabrina Gibson, Edward M Mailander, Sudha Shenoy, Rylan Austin, Timothy W Caldwell , Michael E Nordstrom
- Date: May 2019
- Competency: External Forces & Industry Knowledge
- Topics: Public Policy; Social Insurance>Medicaid
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Medicare/Medicaid Risk Contracting - Profitability
For example, in some rural areas the standard of care means driving Medicare/Medicaid Risk Contracting—Profitability ... fund an HMO-style program with reasonable access to care. Similarly, we know that in some parts of the country ...- Authors: John Heins, John K Ninomiya, Steven J Sherman, Jon R Gabel, William J Klunk
- Date: Jun 1996
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Social Insurance>Medicaid; Social Insurance>Medicare
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Session 118: MLTSS/Medicaid/Duals Overview & Advanced Analytics
10 years) • State Medicaid agencies are the primary payers for over 60% of nursing home residents ... –Providers receive capitated payments for long-term care services and supports (LTSS) –Service are provided ...- Date: Jun 2019
- Competency: External Forces & Industry Knowledge
- Topics: Social Insurance>Medicaid
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Medicaid Hot Topics
Medicaid Hot Topics The always popular Medicaid Hot Topics session is back with discussions from an expert ... their companies or state clients. Medicaid, Managed care, Public Health 6/18/2020 12:00:00 AM ...- Authors: Taylor Pruisner, Daniel Brian Schnur, Sabrina Gibson, David Joseph Wierz, Jaredd Martin Keith Simons
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Health insurance; Social Insurance>Medicaid