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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 ...- 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
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Section 1332 Waivers: Coming Soon to a State Near You?
requirements of the Patient Protection and Affordable Care Act. The article focuses on specific opportunities ... opportunities for states and the role that actuaries will play. Patient Protection and Affordable Care Act= ...- Authors: Gregory Fann
- Date: May 2016
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability; Public Policy; Public Policy
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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries Explanation of Medicare ... important features of the program from an actuarial perspective, how the components of the STAR rating are ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Hospital Entry Into Health Care Financing
Hospital Entry Into Health Care Financing Presented at October 1986 Annual Meeting. Discussion ... financing from the hospital perspective, the risks and financial incentives from the hospital's perspective ...- Authors: John Fritz, Ronald D Osborne, Virginia S Olds, Clifford Keith Powell
- Date: Oct 1986
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Payment models
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Debate - Future Of Health Care Financing
Debate - Future Of Health Care Financing Presented at April 1985 Spring Meeting. Addresses questions ... questions being asked about the future of health care financing: 1. Will the traditional insurer-based ...- Authors: Wesley J Burbank, Stephen Carter, Edward A Flickner, Ronald Homans, Raymond F McCaskey, Allen Sorbo, Rickey Williams
- Date: Apr 1985
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Payment models
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Network Development Issues
Network Development Issues Presented at June 1996 Spring Meeting. This is a discussion on how to ... June 1996 Spring Meeting. This is a discussion on how to decide whether to build a network or develop ...- Authors: Edward Cymerys, Pennell Hamilton, Pamela Woodley, Joseph L Wilson
- Date: Jun 1996
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Payment models
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Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model As ... model into the future. This requires actuarial and clinical/provider capabilities to assess the care management ...- Authors: Mark Bethke, James M Whisler, Amanda Holland
- Date: May 2013
- Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy
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Joint Ventures In Health Care Financing
RECORD OF SOCIETY OF ACTUARIES 1986 VOL. 12 NO. 4B JOINT VENTURES IN HEALTH CARE FINANCING Moderator: ... HERRLE: As most of you already know, we are going through a very significant change in the financing and ...- Authors: Stephen H Berkey, William Finch, Gregory N Herrle, Robert P Jackson, David J McLean
- Date: Oct 1986
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Payment models