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  • Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
    Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal to address ... accountable care organizations. Capitations would be risk-adjusted, non-capitated costs would be covered by ...

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    • Authors: Mark Florian
    • Date: Sep 2010
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance
  • Medical Loss Ratio: An Entrepreneurial Approach to Health Care Reform
    discussion of the medical loss ratio, the confusion and debate over the calculation method under the new MLR ... MLR requirement, and the opportunities it presents to consulting actuaries. Loss ratio=LR;Patient Protection ...

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    • Authors: Mark Florian
    • Date: Aug 2011
    • Competency: Strategic Insight and Integration
    • Publication Name: The Independent Consultant
    • Topics: Health & Disability>Health insurance; Public Policy