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Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans?
provider of healthcare services rather than through a third-party administrator (TPA), often with the goal ... goal of driving value-based care. This article discusses the considerations for employers and providers ...- 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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Incurred Health Claims:One Lag Report is Not Enough
Incurred Health Claims:One Lag Report is Not Enough Discussion of methods to estimate unpaid ... Health Claims:One Lag Report is Not Enough Discussion of methods to estimate unpaid claim liability UCL for ...- Authors: Henry Frantz
- Date: Apr 2003
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability; Modeling & Statistical Methods
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Combining an Actuarial and an Underwriting Approach
T he essence of our profession is to reach a conclusion through an objective analysis of available data ... data. For much of my career I felt this was the only viable approach. After assuming respon- sibility ...- Authors: David L Reichlinger
- Date: Dec 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Health & Disability
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A Very Complex Topic
NEWS | AUGUST 2003 | 13 O ver the four years that I have beeneditor of Health Section News manybright ... loved one is the patient. I know you all have experiences with miracles or horror stories of the healthcare ...- Authors: Jeffrey Miller
- Date: Aug 2003
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability