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Provider Networks – Actuarial Perspective on Performance In and Out of Exchanges
may or may not reflect the experience of any individual company. The study is for informational purposes ... physicians and other providers as costs rise. Individual Health Insurance Exchanges (referred to as Exchanges ...- Authors: Karl Volkmar, Adam Ryan Singleton, Greger J Vigen, Russell Jay Dieterlen, Thomas James
- Date: Mar 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health insurance
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Measurement of Healthcare Quality and Efficiency: Resources for Healthcare Professionals - Updated
an overview on a particular topic, look at the table of contents for the report. If you want a description ... particular organization or program, look at the table of contents for Appendix D. This includes hyperlinks ...- Authors: Ian G Duncan, Greger J Vigen, Sheryl Coughlin
- Date: Dec 2013
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Topics: Health & Disability>Health care quality; Technology & Applications>Analytics and informatics
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An Actuarial Perspective on the Relationship of Patient Centered Medical Homes and Healthcare Costs
Appendix C – Efficiency and Quality Profiling for Individual PCPs ....................................... ... overtreatment or undertreatment. Additionally, individual performance was not measured. Today, relationships ...- Authors: Susan Pantely, Casey Hammer, Greger J Vigen
- Date: Mar 2021
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability
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Measurement of Healthcare Quality and Efficiency: Resources for Healthcare Professionals Updated
Measurement ... Actuaries, All Rights Reserved 4 of 64 Table of Contents Section 1 Executive Summary ... financial approach of purchasers and the ―micro‖ individual focus of physicians and academic studies ...- Authors: Ian G Duncan, Greger J Vigen, Sheryl Coughlin
- Date: Jan 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Topics: Health & Disability>Health care quality; Technology & Applications>Analytics and informatics
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The Opportunities During Transformation: Moving To Health Care 2.0
options, such as single vendor or mandatory individual insurance. Solutions for financing and taxing ... Disconnected Multiple, disconnected sources for individual health information. A few key organizations ...- Authors: Greger J Vigen
- Date: Jun 2009
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>Internal forces and business performance
- Topics: Enterprise Risk Management>Compliance; Health & Disability>Health care; Health & Disability>Health information technology; Public Policy; Social Insurance>Medicare; Health & Disability>Electronic medical record
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Health Care 2.0—Massive Implications of System Transformation
major programs and initiatives. The following table outlines the major forces that are driving this ... more sophisticated payment reform options on the table, but implementation is just starting and/or uneven ...- Authors: Greger J Vigen
- Date: May 2013
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Payment models; Public Policy
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Inventory – Measurement of Healthcare Quality and Efficiency
help to review specific providers (like each individual hospital). Thus the authors were particularly ... diagnostic codes and procedural codes to assign each individual to a single mutually exclusive risk group that ...- Authors: Ian G Duncan, Greger J Vigen, Sheryl Coughlin
- Date: Jan 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Topics: Health & Disability>Health care quality; Technology & Applications>Analytics and informatics
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Measurement of Healthcare Quality and Efficiency: Resources for Healthcare Professionals - Inventory of Programs and Organizations
diagnostic codes and procedural codes to assign each individual to a single mutually exclusive risk group that ... characteristics of the individual to the amount and type of health care resources that individual will consume ...- Authors: Ian G Duncan, Greger J Vigen, Sheryl Coughlin
- Date: Jan 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Incorporate risk management
- Topics: Health & Disability>Health care quality; Technology & Applications>Analytics and informatics
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A Road Less Traveled
A Road Less Traveled The article described recent major advances in measurement of health programs ... An entity (provider-based organization or individual provider) should be identified to accept financial ...- Authors: Greger J Vigen
- Date: Jul 2014
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care