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  • The Adjusted Average per Capita Cost Under Risk Contracts with Providers of Health Care
    Cost Under Risk Contracts with Providers of Health Care This paper describes an actuarial methodology [adjusted ... maintenance organization=HMO ;Payment models=Health care payment models; 2452 10/1/1981 12:00:00 AM ...

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    • Authors: Susan Amos Kunkel, Clifford Keith Powell
    • Date: Oct 1981
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Transactions of the SOA
    • Topics: Social Insurance>Medicare
  • HCFA & Medicare + Choice: Contract Year 2001 Changes
    HCFA & Medicare + Choice: Contract Year 2001 Changes Outline of changes to the ... Information Form, Issue No. 38 Managed care;Payment models=Health care payment models; 9370 8/1/2000 12:00:00 ...

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    • Authors: Anant Galande
    • Date: Aug 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicare
  • APCs - They’ll Change OutpatientHospital Contracting
    APCs - They’ll Change OutpatientHospital Contracting Discussion of Medicare's Ambulatory Payment ... calculations. Issue No. 37. Payment reforms=Health care payment reforms; 9347 4/1/2000 12:00:00 AM ...

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    • Authors: Patrick J Dunks, Nickolas Ortner
    • Date: Apr 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicare
  • Medicare Retiree Benefit Plans
    Medicare Retiree Benefit Plans Presented at May 2000 Spring Meeting. Examines benefit plan design ... plans;Health maintenance organization=HMO ;Managed care;Product development; 17832 5/1/2000 12:00:00 AM ...

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    • Authors: Dale Yamamoto, John Bagley
    • Date: May 2000
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Record of the Society of Actuaries
    • Topics: Pensions & Retirement>Retiree medical; Social Insurance>Medicare
  • Medicare Modernization Act [MMA] - The Biggest Challenge to Medicare Since 1965
    Medicare Modernization Act [MMA] - The Biggest Challenge to Medicare Since 1965 Panelists ... of Actuaries, Vol. 30, No. 3, Session 101 Health care reform;Health savings accounts=HSA;Preferred provider ...

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    • Authors: John Fritz, Patrick J Dunks, Corey Berger, STEVEN LIEBERMAN
    • Date: Jun 2005
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • SMI Trust Fund:Estimates under Alternative II Assumption forAged and Disabled Excluding End-Stage RenalDisease Enrollees
    through an independent reporting system. In a health care program with continuously increasing incurred reim- ... 2001 PENSION SECTION NEWS (3) Managed Care Services Managed care plans with contracts to provide health ...

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    • Authors: Society of Actuaries
    • Date: Sep 2001
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Pension Section News
    • Topics: Social Insurance>Medicare
  • SMI Trust Fund Estimates Under Alternative II Assumption for Aged and Disabled Enrollees Excluding End-Stage Renal Disease
    them to the time of service. • Managed Care Services Managed care plans with contracts to provide health ... services to Medicare beneficiaries are reimbursed direct- ly by CMS on either a reasonable cost or capitation ...

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    • Authors: Society of Actuaries
    • Date: Sep 2003
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Pension Section News
    • Topics: Social Insurance>Medicare
  • Medicare Prescription Drugs
    has more than 12 years of experience in the health care field. In 2003, Corey presented an actuarial equivalence ... asked, "What happened in 2003 and why should you care?" That, perhaps, is not a question that's terribly ...

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    • Authors: Janet Carstens, Corey Berger, Brian Glassman, Ted Marmor
    • Date: May 2004
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Record of the Society of Actuaries
    • Topics: Social Insurance>Medicare
  • SMI Trust Fund Estimates Under Alternative II Assumption for Aged andDisabled Enrollees Excluding End-Stage Renal Disease
    them to the time of service. • Managed Care Services Managed care plans with contracts to provide health ... or capitation basis. Comprehensive data on such direct reimbursements are available only on a cash basis ...

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    • Authors: Society of Actuaries
    • Date: Oct 2002
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Pension Section News
    • Topics: Social Insurance>Medicare
  • HI Trust Fund: Actuarial Methodology and Principal Assumptions
    (d) projecting in- creases in payments to managed-care plans; and (e) projecting increases in administrative ... 1.3 1.4 1.5 1.8 2.1 2.1 2.0 2.9 2.9 2.5 Managed Care Shift Effect -0.3% -0.4 -0.6 -1.0 -2.0 -2.7 -3 ...

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    • Authors: Society of Actuaries
    • Date: Sep 2001
    • Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Publication Name: Pension Section News
    • Topics: Pensions & Retirement>Retiree medical; Social Insurance>Medicare