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  • How to Avoid Common Pitfalls of Health Plan Mergers
    How to Avoid Common Pitfalls of ... Pitfalls of Health Plan Mergers Presented at May 2000 Spring Meeting. Discusses common problems ... & acquisitions=M&A;Retention; 17957 5/1/2000 12:00:00 AM ...

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    • Authors: Linda Bronstein, Pennell Hamilton, Alice Rosenblatt, Barbara McNamara
    • Date: May 2000
    • Competency: Communication; External Forces & Industry Knowledge>Internal forces and business performance; Leadership>Change management; Strategic Insight and Integration>Management partnership
    • Publication Name: Record of the Society of Actuaries
    • Topics: Enterprise Risk Management>Operational risks; Finance & Investments; Health & Disability>Health care
  • Value for Money from the Top 20? A Critical Examination of Therapeutic Impact and Value of Top-Selling Drug Products against their Competitors
    policy? Milbank Quarterly 75(1):11- 34. 6 Innvaer, S., G. Vist, M. Trommald and A. Oxman. 2002. "Health ... effective but more economical prescriptions. In 2000, the Oregon Health Resources Commission12 spent ...

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    • Authors: Alan Cassels
    • Date: May 2004
    • Competency: Communication>Persuasive communication; External Forces & Industry Knowledge>Internal forces and business performance; Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Health care; Public Policy
  • The Opportunities During Transformation: Moving To Health Care 2.0
    V I S I O N S F O R T H E F U T U R E Of The U.S. Health Care System 77 The health care industry ... To Health Care 2.0 V I S I O N S F O R T H E F U T U R E Of The U.S. Health Care System 78 The ...

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    • Authors: Greger J Vigen
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance
    • Topics: Enterprise Risk Management>Compliance; Health & Disability>Health care; Health & Disability>Health information technology; Public Policy; Social Insurance>Medicare; Health & Disability>Electronic medical record
  • Health System Reform - Old Challenges, New Solutions
    V I S I O N S F O R T H E F U T U R E Of The U.S. Health Care System 63 Health System Reform—Old ... overall health has suffered as a result. The U.S. health care system, as it exists today, is a result ...

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    • Authors: Robert Stone
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Technical Skills & Analytical Problem Solving
    • Topics: Finance & Investments; Health & Disability>Health care; Health & Disability>Health risks; Public Policy; Social Insurance>Social Security
  • Free Market Fix
    V I S I O N S F O R T H E F U T U R E Of The U.S. Health Care System 57 Health care in the United ... recommended care. How Do We Fix The System? Fixing the U.S. health care system requires reducing the level ...

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    • 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
  • Selling Health Insurance Across State Lines
    Selling Health Insurance Across State Lines Discusses various aspects of allowing ... to be sold in another state without the latter's approval or oversight. health insurance;health policy;individual ...

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    • 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
  • Medicare Advantage Star Ratings: Expectations for New Organizations
    Ratings: Expectations for New Organizations By Kelly S. Backes, Julia M. Friedman, Dustin J. Grzeskowiak ... Advantage Bid Rebate Federal Part C Revenue Table 1 2019 Quality Bonus Payment and Rebate Percentages ...

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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
  • Medicaid Encounter Data: The Next National Data Set
    20 percent of the U.S. population and accounts for more than 16 percent of all U.S. health care spending ... information relating to the receipt of any item(s) or service(s) by an enrollee under a contract between ...

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    • 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
  • Reasons to Reconcile
    Reasons to Reconcile Financial reconciliation is critical to a successful Medicare Advantage ... for handling medical related- party arrangement(s). - Depending on the situation and method for demonstrat- ...

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    • 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