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Possible Future of U.S. Healthcare
Possible Future of U.S. Healthcare What is the difference between a Single-Payer and Universal Health ... Health Care System, and how could the U.S. implement a system that would reduce the growth of medical costs ...- Authors: Roy Goldman
- Date: Nov 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment”
Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment” ACA risk adjustment ... Family Foundation (KFF) states it this way, “The ACA’s risk adjustment program is intended to reinforce market ...- Authors: Greg Fann
- Date: Jun 2022
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Health & Disability>Health care
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Managed Care 3.0 Technology
account for about half of the cost increases in U.S. health care.[1] Others have disputed these claims ... element driving increased costs. Regardless of one’s viewpoint, there are two key takeaways. First, improvements ...- Authors: Joan Barrett, Sudha Shenoy
- Date: Jan 2021
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Technology & Applications
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Better Care Through Understanding the Customer Not Just the Patient
types of data exist outside a health plan or provider’s walls that would enable us to develop a more holistic ... data sources that can help inform us of a member’s needs and wants. The first two are publicly available ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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Provider Risk-Sharing and Random Noise
paid to the provider. Table 1 breaks this down for dif- ferent size groups. Table 1 Sample Random Variation ... HMOs. Managed Care, Dec. 1, 2000. https://www .managedcaremag.com/archives/2000/12/downstream-without-paddle ...- Authors: Thomas Messer
- Date: Jul 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Provider networks; Health & Disability>Provider risk
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Paper 5: Evaluating Disease Management Savings Outcomes
Paper ... Table 1 shows a simple application of a randomized control design: 4 Table 1: Application ... Consider the following example shown in Table 2. Table 2: Application of Actuarial Adjustment to ...- Authors: Ian G Duncan
- Date: Oct 2005
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health care
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Recent Trends in Psychiatric Medication Use
Recent Trends in Psychiatric Medication Use Answers to questions that have surfaced with ... and new developments in the field. Alzheimer's disease and dementia;Prescription drug costs;Comparative ...- Authors: Dean Knudson
- Date: Dec 2007
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration
- Publication Name: Long-Term Care News
- Topics: Health & Disability>Health care
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AI and EMRs: Pioneering the New Frontier in Healthcare Actuarial Practice
• Uncovering Risk Score Capture Opportunies: Ulizing EMR data can reveal addional risk score ... mechanism%20for%20achieving%20this%20goal 2) Zhao, S. (2023, August). The Next Horizon of Value-based Care: ...- Authors: Netanel Lederer
- Date: May 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health information technology; Health & Disability>Provider risk; Health & Disability>Electronic medical record
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Biosimilars, Part 3: Humira Biosimilar Launches
which began in January with the arrival of Amgen’s Amjevita on the market. The launch of Amjevita kicks ... which began in January with the arrival of Amgen’s Amjevita on the market. The launch of Amjevita kicks ...- Authors: Tony Pistilli, Greg Warren
- Date: Nov 2023
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Public Policy
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Biosimilars, Part 4: The Financial Impact
financial impact that could result from this year’s big event. Savings from biosimilars have accelerated ... financial impact that could result from this year’s big event. prescription drug costs, health care payment ...- Authors: Greg Warren, Tony Pistilli
- Date: Nov 2023
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health insurance; Public Policy; Public Policy; Public Policy