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Provider Payment Arrangements, Provider Risks, and Their Relationship with the Cost of Health Care
Provider Risks, and Their Relationship with the Cost of Health Care This report provides a thorough ... actuaries and others to help explain various types of provider payment and risk arrangements. Provider ...- Authors: Juliet Michelle Spector, BRIAN HENRY STUDEBAKER, Ethan Menges
- Date: Aug 2018
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The Role of the Affordable Care Act in Payment Reform
The Role of the Affordable Care Act in Payment Reform Affordable Care Act and Payment Reform Patient ... PPACA=Affordable Care Act;Health care reform;Health insurance;Medical Loss Ratio=MLR;Accountable care organizations= ...- Authors: Juliet Michelle Spector
- Date: Aug 2015
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; External Forces & Industry Knowledge>Actuarial theory in business context; External Forces & Industry Knowledge>External forces and business performance
- Topics: 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; Health & Disability>Public financing - Health & Disability
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Evaluating LTC Population Health Programs
improve the lives of their policyholders before and during a claim. Measuring the financial impact of these ... these programs can be difficult for a variety of reasons and multiple methodologies are used to evaluate ...
- Authors: Jeff Anderson , Robert T Eaton, Missy Gordon, Brian Hartman, Joseph Long, Juliet Michelle Spector
- Date: Feb 2023
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Long-Term Care News
- Topics: Long-term Care>Chronic health management - Long-term Care; Modeling & Statistical Methods>Estimation methods
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Insurance Risk and Its Impact on Provider Shared Risk Payment Models
Insurance Risk and Its Impact on Provider Shared Risk Payment Models This ... report examines the risk associated with the unpredictable variation in utilization and cost of services.- Authors: Juliet Michelle Spector, Cory Gusland, Carol Kim
- Date: Jan 2018
- Competency: External Forces & Industry Knowledge
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Farewell 2015!
Farewell 2015! Letter from the editor, she reflect on the various topics that we covered in the ... 2015! Letter from the editor, she reflect on the various topics that we covered in the newsletter this ...- Authors: Juliet Michelle Spector
- Date: Dec 2016
- Competency: External Forces & Industry Knowledge
- Publication Name: Long-Term Care News
- Topics: Long-term Care>Long-term care insurance
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2023-choosing-eval-integration
Come learn from a panel of LTC industry professionals as they discuss setting goals for LTC wellness ... wellness, measuring success of the programs, and integrating them with other LTC process (e.g. assumption setting) ...
- Authors: Juliet Michelle Spector, Stephanie Ann Moench, Richard Benson, Nicholas Sheahon
- Date: Apr 2024
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Topics: Actuarial Profession; Modeling & Statistical Methods
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Long-Term Care From My Lens
Long-Term Care From My Lens letter from the editor, she introduces herself and her role as a consultant ...- Authors: Juliet Michelle Spector
- Date: Apr 2015
- Competency: Leadership>Change management
- Publication Name: Long-Term Care News