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Session 008: Best Practices in Risk-Based Contracts
Session 008: Best Practices in Risk-Based Contracts More and more providers are desiring ... programs, which impacts final settlement risk scores 17 Risk adjustment is intended to normalize the health ...- Authors: Traci Leigh Hughes, Daniel Santmyer, Joseph Dean Heintzelman , Michael Goran, Jennifer Leazzo
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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Session 038: Actuarial implications of a Medicare buy-in option
Session 038: Actuarial implications of a Medicare buy-in option There have been a variety of proposals ... Medicare Advantage buy-in option for older adults 17 Actuarial considerations Eligibility requirements ...- Authors: Lindsy Marie Kotecki, Stanley Wayne Westrom Jr.
- Date: Jul 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health care; Public Policy
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Nuts and Bolts of Managed-Care Provider Networks
that in 1990 the average physician PPO discount was 17% of charges, increasing to 20% in 1991. There are ... discount reported by PPOswas 16% of charges in 1990, and 17% in 1991. Information on managed-care contracts ...- Authors: Nancy F Nelson, Application Administrator, Richard W Kaplan
- Date: Apr 1993
- Competency: Strategic Insight and Integration
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
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Consumerism and Consumer Choice - Implications for Health Plans
Consumerism and Consumer Choice - Implications for Health Plans The session covers strategies and products ... Implications For Health Plans 17 one-on-one basis, but the frequency of use or utilization ...- Authors: David Ogden, William M Sneden, David M Tuomala, Ryan Levin
- Date: May 2001
- Competency: Strategic Insight and Integration
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care