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  • Harnessing The Forces of Markets and Innovation

    Harnessing The Forces of Markets and Innovation This paper discusses the quality of healthcare verses the price of healthcare and puruses individuals and doctors making decisions for their own ...

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    • Authors: Ian G Duncan
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge; External Forces & Industry Knowledge>Actuarial theory in business context
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Social Insurance>Medicaid; Social Insurance>Medicare
  • Visions for the Future of the U.S. Health Care System – e-book of essays

    Visions for the Future of the U.S. Health Care System – e-book of essays A glossary of terms. Antiselection;Cancer;Coinsurance;Health insurance;Medicaid;Medical expenses;Medicare;Portability; ...

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    • Authors: Society of Actuaries
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care; Health & Disability>Health insurance; Long-term Care>Medical expenses; Reinsurance; Reinsurance>Coinsurance; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Social Security
  • Health Reform - A Proposal

    Health Reform - A Proposal Essay reforming healthcare where participants have a vested interest in reaching the best answer. Cancer;Diabetes;Employee contributions;Employer contributions;Health ...

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    • Authors: Timothy Luedtke
    • Date: Jun 2009
    • Competency: Communication>Persuasive communication; Communication>Written communication; External Forces & Industry Knowledge; Leadership>Influence; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
    • Topics: Enterprise Risk Management>Compliance; Health & Disability>Electronic medical record; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Life Insurance; Life Insurance>Underwriting - Life Insurance; Life Insurance>Whole life; Long-term Care>Medical expenses; Pensions & Retirement>Funding; Social Insurance>Medicaid; Social Insurance>Medicare; Social Insurance>Social Security
  • 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 Expansion under the Affordable Care Act

    Medicaid Expansion under the Affordable Care Act On January 1, 2014, many states will be enrolling newly eligible parents and childless adults into the Medicaid program. This article compares the ...

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    • Authors: Robert Damler
    • Date: Oct 2013
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Social Insurance>Medicaid
  • 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
  • U.S. Health Care - Where to Look for Reform

    U.S. Health Care - Where to Look for Reform Essay discussing cost, quality and access of healthcare and then describes the need for rationing. Bankruptcy;Health care costs;Health care ...

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    • Authors: Sam Gutterman
    • Date: Jun 2009
    • Competency: External Forces & Industry Knowledge
    • Topics: Economics; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Social Insurance>Medicaid; Social Insurance>Medicare
  • 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
  • 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
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