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  • MACRA/QPP Provider Revenue Model
    Model The MACRA/QPP Provider Revenue Model is designed to provide an estimate of the revenue impact of the ... the QPP (MIPS, AAPM) on a provider group or ACO, based on the required inputs and scenarios. Healthcare ...

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    • Authors: Julie Witt
    • Date: Sep 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care quality; Health & Disability>Affordable Care Act (ACA); Health & Disability>Provider risk
  • Health Plan Strategic Implications of MACRA
    Health Plan Strategic Implications of MACRA The SOA is pleased to make available a research report providing ... considerations for the actuarial profession in assessing the potential risk and opportunities of MACRA to both ...

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    • Authors: Society of Actuaries
    • Date: Aug 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Affordable Care Act (ACA)
  • A Summary of the Updated Medical Loss Ratio Methodology and Historical Results
    A Summary of the Updated Medical Loss Ratio Methodology and Historical Results This is a brief report ... recent changes in the prevalent medical loss ratio methodologies and also looks at some of the more recent ...

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    • Authors: Society of Actuaries
    • Date: Dec 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Affordable Care Act (ACA)
  • Health Plan Strategic Implications of MACRA
    Health Plan Strategic Implications of MACRA The SOA is pleased to make available a research report providing ... considerations for the actuarial profession in assessing the potential risk and opportunities of MACRA to both ...

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    • Authors: Julie Witt, James Dolstad, Eric Carl McKeeman, Betty Siu
    • Date: Aug 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Affordable Care Act (ACA)
  • MACRA/QPP Payer Revenue Model
    MACRA/QPP Payer Revenue Model The MACRA/QPP Payer Revenue Model is designed to provide Health ... Model The MACRA/QPP Payer Revenue Model is designed to provide Health Plans an estimate of the expected ...

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    • Authors: Julie Witt
    • Date: Sep 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models; Modeling & Statistical Methods; Health & Disability>Affordable Care Act (ACA)