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Better Care Through Understanding the Customer Not Just the Patient
data points are closest to other “like” members. Table 1 is an example of the resulting grouping for six ... representing the lowest and dark green the highest. Table 1 Member Retention Cluster Analysis * Normalized ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Money Matters: Making Medicaid Payment More Effective Through Population-Based Payment
and opinions expressed herein are those of the individual authors and are not necessarily those of the ... can determine how to ensure incentives reach individual practitioners. [4] Health Care Payment Learning ...- Authors: Anne Smithey, Kelsey Brykman
- Date: May 2023
- Competency: External Forces & Industry Knowledge
- Publication Name: In The Public Interest
- Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Social Insurance; Social Insurance>Medicaid; Health & Disability>Provider risk
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Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans?
some of which will work better than others for individual providers and employers. It might mean something ... requirements for negotiating 40 or more contracts with individual health systems quickly become onerous for most ...- Authors: Andrew James Timcheck, Cory Gusland, Michael Gaal
- Date: Dec 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Payment models
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Possible Future of U.S. Healthcare
industries,13 and sometimes they lose money as in the individual market under ACA. Any insurer, including a nonprofit ... Medicaid 21 percent, and just 6.6 percent have individual insurance.16 Fortunately, these same utilization ...- Authors: Roy Goldman
- Date: Nov 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Direct Contracting and Other Models: How CMS, Providers, and Employers Continue to Challenge the Status Quo
Direct Contracting and Other Models: How CMS, Providers, and Employers Continue to Challenge ... Trap” • Benchmarks are set independently of individual organizational performance • No benchmark reductions ...- Authors: Matthew Smith, James Gerald Lucas, Brian Allen Sweatman
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Payment models
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Session 169: Risk Adjustment in Medicaid: Recent Developments
Session 169: Risk Adjustment in Medicaid: Recent Developments The presenters will cover the variation ... Periods Score Used for Payment Follows Individual Retro Operation Window Allowed by Data Submission ...- Authors: Edward M Mailander, Daniel Henry
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Payment models; Public Policy; Public Policy
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Session 186: Evolving Value Based Programs and the Impacts on Provider Analytics & Reporting
Session 186: Evolving Value Based Programs and the Impacts on Provider Analytics & Reporting ... Providers Confidential – Do Not Distribute11 • Individual stop-loss o Payers have been pushing to increase ...- Authors: Patrick Jason Colbert, Jeremiah Reuter, Joshua McPhee
- Date: Mar 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Payment models