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  • Disease Management and the Insurance Industry

    Disease Management and the Insurance Industry Does disease management DM positively influence health care costs? According to three prestigious sources, the answer is no. From Financing Chronic ...

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    • Authors: Jaan Sidorov
    • Date: Jun 2005
    • Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Health & Disability>Health care; Social Insurance>Medicare

  • Medicare Advantage Hierarchical Condition Categories: Updated Study Results

    Medicare Advantage Hierarchical Condition Categories: Updated Study Results Summary and analysis of the diseases and conditions exhibited in the Medicare Advantage population Medicare;Risk ...

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    • Authors: Corey Berger, Eric P Goetsch
    • Date: Jan 2013
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health risks; Social Insurance>Medicare

  • Results from the SOA Long-Term Care Think Tank

    Results from the SOA Long-Term Care Think Tank This article is about the most significant issues and trends that may impact long-term care LTC risks, care delivery and protection in the future.

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    • Authors: Emily Kessler
    • Date: Dec 2005
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance; Leadership>Thought leadership; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Long-Term Care News
    • Topics: Long-term Care>Long-term care facilities & home care; Social Insurance>Medicaid; Social Insurance>Medicare

  • Linking Quality and Cost: An Analysis of the Hospital Quality Information Initiative Measures

    Linking Quality and Cost: An Analysis of the Hospital Quality Information Initiative Measures Analysis of possible mathematical relationships between hospital quality and hospital billed or ...

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    • Authors: John Cookson, Eileen A Kurtz
    • Date: Nov 2006
    • Competency: Communication; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Experience Studies & Data; Health & Disability>Health care quality; Modeling & Statistical Methods>Data mining; Social Insurance>Medicare

  • Abstract: The Boomers Are Coming: A Total Cost of Care Model of the Impact of Population Aging on the Cost of Chronicand Acute Conditions in the United States

    Abstract: The Boomers Are Coming: A Total Cost of Care Model of the Impact of Population Aging on the Cost of Chronicand Acute Conditions in the United States This is the abstract for the paper, ...

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    • Authors: Louise H Anderson, Nancy A Garrett, E Mary Martini, Tammie Lindquist, Elaine Moses
    • Date: Jun 2005
    • Competency: Results-Oriented Solutions>Actionable recommendations; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Health & Disability>Health care; Public Policy; Social Insurance>Medicaid; Social Insurance>Medicare

  • Projected Cost Analysis of Potential Medicare Pharmacy Plan Designs

    Projected Cost Analysis of Potential Medicare Pharmacy Plan Designs Research report sponsored by SOA to model and compare projected costs of different proposals for a Medicare prescription drug ...

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    • Authors: Lynette Trygstad, Timothy Feeser, Corey Berger
    • Date: Jul 2003
    • Competency: External Forces & Industry Knowledge; Leadership>Change management; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Topics: Economics>Health economics; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Forecasting; Public Policy; Social Insurance>Medicare; Technology & Applications>Analytics and informatics

  • 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
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