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  • Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews
    Medicare Advantage Hierarchical Condition Categories: Targeting Chart Reviews Identifying and submitting all appropriate ICD-9 diagnosis codes to CMS will result in a higher risk score for the ...

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    • Authors: Corey Berger, Eric P Goetsch
    • Date: Jan 2011
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Demography; Health & Disability>Health risks; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare; Technology & Applications>Analytics and informatics
  • Blending Census and Medicare Mortality Rates
    Blending Census and Medicare Mortality Rates This paper presents a new method for blending census and Medicare mortality rates for the U.S. Decennial Life Tables. From the Actuarial Research ...

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    • Authors: Jacques F Carriere
    • Date: Jan 1992
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Actuarial Research Clearing House
    • Topics: Demography>Population data; Social Insurance>Medicare
  • Reactions to Medicare Reform Legislation
    Reactions to Medicare Reform Legislation The panel offers a summary of the Medicare Modernization Act signed into law in 2003, which implemented sweeping changes to the Medicare program. Topics ...

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    • Authors: Dawn E Helwig, Michael Thompson, Dale Yamamoto, John S Cathcart
    • Date: Oct 2004
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Public Policy; Social Insurance>Medicare
  • Medicare Commission Recommendations
    Medicare Commission Recommendations Panel discusses the National Bipartisan Commission on the Future of Medicare failed agreement, but still examines the draft of the report, as well as other ...

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    • Authors: Jay P Boekhoff, Harry L Sutton, Dick Anderson
    • Date: Jun 1999
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Medicare Supplement Filings from a Regulator's Perspective
    Medicare Supplement Filings from a Regulator's Perspective In this session, presenters discuss how regulators evaluate Medicare Supplement filings and how carriers can improve their ...

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    • Authors: John A Hartnedy, Linda Ziegler, Craig Kalman, Dennis Hare
    • Date: May 2004
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Is Your Integrated Delivery System Throwing Away Free Money?
    Is Your Integrated Delivery System Throwing Away Free Money? Article explores why many integrated delivery systems are struggling and what actions they need to take to succeed. Medicare;aligned ...

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    • Authors: Karan Rustagi
    • Date: Feb 2018
    • Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Professional development; Health & Disability>Payment models; Social Insurance>Medicare
  • The Modernization of Medigap Plans-Legislative Summary
    The Modernization of Medigap Plans-Legislative Summary This article discusses the legislative summary of the changes that will occur with the new Medigap policies, which will be effective on or ...

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    • Authors: Marianne Miller
    • Date: Jan 2009
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicare
  • Medicare Modernization Act [MMA] - Changes to Health Plans
    Medicare Modernization Act [MMA] - Changes to Health Plans Panelists discuss current implications of the MMA on Medicare Advantage, Medicare Supplement plans, and introduce the new Part D ...

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    • Authors: John S Cathcart, Patrick J Dunks, Jack Keck, Stephen P Wood
    • Date: Jun 2005
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • Recent Experience under the Medicare Program
    Recent Experience under the Medicare Program This paper documents recent medicare utilization experience from 1975-1977 extracted from a large statistical data file developed by the Department of ...

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    • Authors: Fung-Yee F Chan, James L Cowen, Ronald Gresch, Kenneth K Leong, Application Administrator, Robert J Myers, Joseph Romano, Gregory Savord
    • Date: Oct 1982
    • Competency: Technical Skills & Analytical Problem Solving
    • Publication Name: Transactions of the SOA
    • Topics: Experience Studies & Data>Morbidity; Social Insurance>Medicare
  • Estimated Impact of Medicare Part D On Retiree Prescription Drug Costs
    Estimated Impact of Medicare Part D On Retiree Prescription Drug Costs The Health Section Council HSC of the Society of Actuaries approved and funded a project to study the cost impact on plan ...

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    • Authors: Kevin Dolsky, Richard J Marchel
    • Date: Dec 2005
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Social Insurance>Medicare