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Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans?
Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans? Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans? ...- 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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Session 077: Medicaid Risk Adjustment: Understanding State Specific Design & Application for Effective Program Management
Session 077: Medicaid Risk Adjustment: Understanding State Specific Design & Application for Effective Program Management This session will explore the national landscape of state Medicaid ...- Authors: Zachary Aters, Suzanna-Grace Sayre
- Date: Jul 2019
- Competency: Results-Oriented Solutions
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models
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Health Care Technology
Health Care Technology The last three decades have witnessed an important rise in number of people with diabetes in Asia, especially Type 2 Diabetes. Like no other common condition, numerous ...- Authors: Society of Actuaries
- Date: Jun 2019
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health information technology; Health & Disability>Payment models
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MACRA/QPP Payer Revenue Model
MACRA/QPP Payer Revenue Model The MACRA/QPP Payer Revenue Model is designed to provide Health Plans an estimate of the expected claim cost increase/decrease due to MACRA. Healthcare quality, ...- 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)
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Ehren Nagel: SOA Predictive Analytics Certificate Has Positively Impacted My Work
Ehren Nagel: SOA Predictive Analytics Certificate Has Positively Impacted My Work Early in his career, Ehren Nagel, FSA, MAAA, scoured through podcasts and articles about predictive analytics, ...- Authors: Society of Actuaries
- Date: Nov 2019
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques; Predictive Analytics>Programming languages & tools; Health & Disability>Electronic medical record
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Family Considerations in Retirement Planning
Family Considerations in Retirement Planning The traditional informal care of/by family has faced increasing geographic and economic challenges from changing family households and sources of ...- Authors: Zenaida Samaniego
- Date: Jun 2019
- Competency: Communication; External Forces & Industry Knowledge; Professional Values; Relationship Management
- Topics: Demography>Longevity; Economics>Behavioral economics; Enterprise Risk Management>Financial management; Experience Studies & Data>Long-term care - Experience Studies & Data; Health & Disability>Payment models; Social Insurance>Medicaid
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Session 044: Transitioning a Health System from Separate Physician and Hospital Reimbursement to Global Payment
Session 044: Transitioning a Health System from Separate Physician and Hospital Reimbursement to Global Payment This is a case study session where the speakers will describe a project where a ...- Authors: David Axene, Elaine Corrough, Stephanie Dawn Entzminger
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Payment models; Predictive Analytics
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Session 023: A Common Vision of Value-Based Care: Case studies of Payer-Provider Collaboration
Session 023: A Common Vision of Value-Based Care: Case studies of Payer-Provider Collaboration In the current value-based care marketplace, there are various reimbursement models that tie ...- Authors: David Hanekom, Maureen B Tresnak , Fan Zhang
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health care quality; Health & Disability>Payment models
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Session 031: Pharmacy Pricing - US Policy and Global Perspective
Session 031: Pharmacy Pricing - US Policy and Global Perspective US pharmacy prices have entered a new era of growth driven by Specialty medications. A bevy of state and national regulations ...- Authors: Gregory L Warren, Laura Elizabeth Coe , Scott Fry
- Date: May 2019
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Payment models; Public Policy
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Yi-Ling Lin: SOA Predictive Analytics Program Prepares You for Health Care’s Future
Yi-Ling Lin: SOA Predictive Analytics Program Prepares You for Health Care’s Future Yi-Ling Lin, FSA, MAAA, FCA, started the SOA’s Predictive Analytics Certificate Program to keep pace with the ...- Authors: Society of Actuaries
- Date: Nov 2019
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques; Predictive Analytics>Programming languages & tools; Health & Disability>Electronic medical record