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Health Care 2.0—Massive Implications of System Transformation
major programs and initiatives. The following table outlines the major forces that are driving this ... more sophisticated payment reform options on the table, but implementation is just starting and/or uneven ...- Authors: Greger J Vigen
- Date: May 2013
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Payment models; Public Policy
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Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative
Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative ... we do get to compare from time to time how the U.S. system compares to the U.K. system. If we think ...- Authors: Gregory Fann
- Date: Feb 2018
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models
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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
payment percentages by star rat- ing are shown in the table in Figure 1. The percentage of the savings a plan ... rebate percentages by star rating are shown in the table in Figure 2. Special rules apply to low-enrollment ...- 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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The Center for Health Care Strategy (CHCS)
The Center for Health Care Strategy (CHCS) CHCS is a nonprofit policy center focused on improving ... Health Care Strategies (CHCS) By Rebecca Owen A s the health delivery system continues to transform ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Payment models; Public Policy
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Valuation of Care Management Vendors
Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings ... costs changed that. As an increasing part of the U.S. gross domestic product and American workers’ paychecks ...- Authors: Rick S Pawelski
- Date: May 2020
- Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; 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 ... better, and the organizations are more capable. The table below summarizes the transitions needed to help ...- 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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Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does It?
Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves ... dramatically improve a complex and often dysfunctional U.S. health system. cold will too often get an antibiotic ...- Authors: Tia Sawhney, Bruce Pyenson
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Health & Disability>Payment models