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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 ...

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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
  • 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
  • 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 ...

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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
  • 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 ...

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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