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Creative Provider Reimbursement Approaches
the more important issues or advantages (Table 1). TABLE 1 TRADITIONAL REIMBURSEMENT APPROACHES—FEE ... modified, which is one that uses a fee schedule (Table 2). There are a lot of the same advantages and ...- Authors: Sunit Patel, Steven Wander, Scott E Guillemette, Susan Pantely
- Date: Jun 1998
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health insurance
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Provider Contracting Issues and Trends
to provide more transparency in costs to the individual consumer. Besides directly impacting utilization ... will be in a position to make choices. If the individual is going to choose between two facilities or ...- Authors: Frederick L Davis, Thomas Snook, John Limm, Susan Pantely
- Date: May 2004
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Chairperson’s Corner
provide hands on training related to pricing and valuation issues. For the pricing track, actuaries may ... For the valuation track, there will be separate sessions for both experienced valuation actuaries ...- Authors: Susan Pantely
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Professional Values>Practice expertise; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Actuarial Profession>Professional associations; Actuarial Profession>Professional development; Economics>Health economics; Public Policy
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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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An Electronic Prescription for Health Care Efficiency
determina- tions of the best drug fit for an individual patient is clearly more efficient right in the ... no good way of knowing the formulary for any individual patient’s prescription drug plan. If a physician ...- Authors: Susan Pantely
- Date: Jan 2009
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Technology & Applications
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What's New in Provider and Network Management and Contracting? RSA01V27N158PD
at the Consumer Price Index (CPI) and downloaded Table 1 from the Bureau of Labor Statistics. I looked ... trends are higher. This is one indicator of trends. Table 2 Contracting Environment CPI Trends Downloaded ...- Authors: Dewayne Ullsperger, Susan Pantely, Brian Small
- Date: May 2001
- Competency: External Forces & Industry Knowledge
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability