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  • The Health Insurance Providers Fee and Medicaid

    The Health Insurance Providers Fee and Medicaid This article describes the Health Insurance Providers Fee implemented through Section 9010 of the Affordable Care Act (ACA) and discusses how the ...

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    • Authors: Sabrina Gibson, Maria Dominiak
    • Date: Oct 2013
    • Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>General business skills
    • Publication Name: Health Watch
    • Topics: Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicaid
  • MORTALITY AGE PATTERNS: TRENDS, PROJECTIONS AND LIFE PREPARANCY

    MORTALITY AGE PATTERNS: TRENDS, PROJECTIONS AND LIFE PREPARANCY During the SOA’s recent Living to 100 Symposium, one of the sessions that got me thinking much more deeply about the financing of ...

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    • Authors: R. Dale Hall
    • Date: Jul 2015
    • Competency: Professional Values>Public interest representation
    • Publication Name: In The Public Interest
    • Topics: Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Postemployment benefits; Social Insurance>Social Security; Social Insurance>Survivor benefits
  • At the Intersection of Risk Adjustment and Social Determinants of Health

    At the Intersection of Risk Adjustment and Social Determinants of Health Interview of people knowledgeable about risk adjustment and the use of social determinants of health with that context for ...

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    • Authors: Sudha Shenoy, Gail Stone
    • Date: Mar 2019
    • Competency: External Forces & Industry Knowledge; Results-Oriented Solutions
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicaid
  • Risk Adjustment in State Medicaid Programs

    Risk Adjustment in State Medicaid Programs This article discusses some of the most important considerations in implementing risk adjustment within a Medicaid Managed Care program. From Health ...

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    • Authors: Robert Damler, Ross Winkelman
    • Date: Jan 2008
    • Competency: Technical Skills & Analytical Problem Solving>Incorporate risk management
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicaid
  • Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration

    Payment Reform Under The Medicare-Medicaid Financial Alignment Demonstration This article focuses on the capitation rate development methodology for the Medicare-Medicaid Financial Alignment ...

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    • Authors: Michael Cook, Shelly Brandel
    • Date: May 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare
  • Medicaid Innovation: The Need for Actuaries in the Medicaid Program

    Medicaid Innovation: The Need for Actuaries in the Medicaid Program Background on Medicaid and description of recent changes in the program. Medicaid;Payment Reform;Payment Models;Social ...

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    • Authors: Christine Bach
    • Date: May 2016
    • Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Social Insurance>Medicaid
  • A Brief Survey of Dual Eligibles and the ACA

    A Brief Survey of Dual Eligibles and the ACA Beneficiaries who are eligible for both Medicare and Medicaid often have complex health needs. The two programs have not typically been well ...

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    • Authors: Rebecca Owen
    • Date: Jun 2013
    • Competency: Professional Values>Practice expertise
    • Publication Name: In The Public Interest
    • Topics: Health & Disability>Health care; Health & Disability>Public financing - Health & Disability; Social Insurance>Medicaid; Social Insurance>Medicare
  • Social Insurance and Public Finance Pension Sub-committee Research Project Synopsis

    Social Insurance and Public Finance Pension Sub-committee Research Project Synopsis Feature article presenting a synopsis of the Social Insurance and Public Finance Pension Sub-committee. Public ...

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    • Authors: Society of Actuaries
    • Date: Jun 2013
    • Competency: Communication>Written communication
    • Publication Name: In The Public Interest
    • Topics: Social Insurance>Government-funded healthcare; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Postemployment benefits; Social Insurance>Social Security; Social Insurance>Survivor benefits
  • Written Submission to the Subcommittee on Health Care, District of Columbia, Census and the National Archives - Topic: Examining Abuses of Medicaid Eligibility Rules

    Written Submission to the Subcommittee on Health Care, District of Columbia, Census and the National Archives - Topic: Examining Abuses of Medicaid Eligibility Rules This article gives part of ...

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    • Authors: Application Administrator
    • Date: Dec 2011
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Long-Term Care News
    • Topics: Social Insurance>Medicaid
  • 2015 National Academy of Social Insurance Roundtable: The Link between Retirement Security and Long-Term Care

    2015 National Academy of Social Insurance Roundtable: The Link between Retirement Security and Long-Term Care This article summarizes the presentations by the Society of Actuaries and the Academy ...

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    • Authors: John Cutler
    • Date: Apr 2015
    • Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Long-Term Care News
    • Topics: Health & Disability>Public financing - Health & Disability; Long-term Care>Long-term care insurance; Long-term Care>Public financing - Long-term Care; Modeling & Statistical Methods>Dynamic simulation models; Pensions & Retirement>Private sector plans; Pensions & Retirement>Public sector plans; Public Policy; Public Policy; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare