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Our Value-Based Cup Runneth Over
parameters for value-based contracts, come to the table with an open mind and options. As provider actuaries ... Bring an open mind and options to the negotiating table. Whether quality measurement, risk adjustment models ...- Authors: Daniel Reck (Dan), Lisa Swan, Sam Johnmeyer
- Date: Aug 2022
- Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Provider risk
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Linking Quality and Cost: An Analysis of the Hospital Quality Information Initiative Measures
M.A.A.A. Milliman, Inc. November 29, 2006 TABLE OF CONTENTS Page Executive Summary........... ... data for only one or a few of the indicators. Table 1 shows the percentage of hospitals excluded by ...- 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
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Transparency Leads Actuarial Survey of Trend-Benders
Transparency Leads Actuarial Survey of Trend-Benders Summary of results of a 2010 Health Section ... MAAA, and Consulting Actuary for Milliman, Inc. Table 1 conveys this belief, ranking the responses to ...- Authors: Sara Teppema
- Date: Sep 2010
- Competency: Communication; Leadership>Professional network leverage; Leadership>Thought leadership; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Public Policy; Public Policy
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Effective Contracting with Pharmacy Benefit Managers: Protecting a plan sponsor’s resources
plan’s members. Because there are thousands of individual prescription drugs, it is not practical for ... the contract to list a price for each individual drug. Instead, most contracts define the plan’s cost ...- Authors: Robert Gordon Cosway, Brian Anderson
- Date: Feb 2010
- Competency: Communication; Relationship Management>Relationships and trust
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality