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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 quality; ...- 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
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A Comparative Analysis of Claims-Based Tools for Health Risk Assessment - 3M Comments
A Comparative Analysis of Claims-Based Tools for Health Risk Assessment - 3M Comments This one page paper highlights the results of the various comparisons for both R2 and MAPE at the individual ...- Authors: Society of Actuaries
- Date: Aug 2001
- Competency: External Forces & Industry Knowledge>External forces and business performance
- Topics: Health & Disability>Health care; Social Insurance>Medicare
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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 ...- 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
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What Will Be the Impact of theNew Medicare PrescriptionDrug Benefit?
What Will Be the Impact of theNew Medicare PrescriptionDrug Benefit? This article provides an introduction to the Medicare Prescription Drug, Improvement and Modernization Act of 2003 and looks ...- Authors: Corey Berger
- Date: Mar 2005
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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The Modernization of Medigap Plans–Managing the Change
The Modernization of Medigap Plans–Managing the Change This article discusses planning for the changes that will occur with the new Medigap policies, which will be effective on or after June 1, ...- Authors: Gail M Lawrence
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Social Insurance>Medicare
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Generic Dispensing Rates: Silver Bullet No More?
Generic Dispensing Rates: Silver Bullet No More? A summary of the driving forces behind, and effects of, the historical increases and future expectations of Generic Dispensing Rates.- Authors: Troy Filipek
- Date: May 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Big picture view
- Publication Name: Health Watch
- Topics: Economics>Behavioral economics; Economics>Health economics; Social Insurance>Medicare
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Medicare Supplement: Critical Factors for Success
Medicare Supplement: Critical Factors for Success An overview of the Medicare Supplement landscape and the critical factors for successfully pricing and managing this product line amidst the ...- Authors: James Galasso, John S Cathcart, Sudha Shenoy, Kenneth Clark
- Date: Jan 2011
- Competency: External Forces & Industry Knowledge; Professional Values>Practice expertise
- Publication Name: Health Watch
- Topics: Public Policy; Public Policy; Social Insurance>Government-funded healthcare; Social Insurance>Medicare
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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 ...- 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
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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 ...- 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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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 ...- 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