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  • Risk Adjusters
    review of literature about the development and application of medical risk adjustment models. The current ... group [PIPDCG] and proposed enhancements are the subject of many articles. Risk adjustment is used for ...

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    • Authors: Society of Actuaries
    • Date: Nov 2002
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Payment models
  • Controlling Indirect Selection under Healthcare Reform
    SAWHNEY B.S.E., University Of Pennsylvania, Philadelphia, 1986 M.G.A., University of Pennsylvania, Philadelphia ... fulfillment of the requirements for the degree of Doctor of Public Health in the School of Public Health ...

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    • Authors: Tia Sawhney
    • Date: Nov 2012
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Economics>Health economics; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Payment models; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Modeling efficiency; Predictive Analytics
  • Evaluating Payment Models for High-Cost Curative Therapies
    Perspectives in England and the U.S. October 2018 2 Copyright © 2018 Society of Actuaries Evaluating ... Acknowledgment We would like to thank the Society of Actuaries (SOA) Health Section Research Committee ...

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    • Authors: Didier Serre, Joanne L Buckle, Jessica Marie Naber, Anne M Jackson
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care; Health & Disability>Payment models
  • Evaluating Payment Models for High-Cost Curative Therapies
    Health care costs;Payment models;Health risks The SOA is pleased to make available a research report ... curative disease therapies and prescription drugs. The material was authored by a team from Milliman: Didier ...

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    • Authors: Society of Actuaries
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care; Health & Disability>Payment models
  • MACRA/QPP Payer Revenue Model
    MACRA/QPP Payer Revenue Model The MACRA/QPP Payer Revenue Model is designed to provide Health ... Model The MACRA/QPP Payer Revenue Model is designed to provide Health Plans an estimate of the expected ...

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    • 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)