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Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does It?
Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does ... describes enhanced primary care models and provides citations on whether or not health care savings have been ...- Authors: Tia Sawhney, Bruce Pyenson
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health risks; Health & Disability>Payment models
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Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans?
Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans? Can Direct-to-Provider ... Contracting Achieve Value-Based Care for Employer-Sponsored Plans? Direct-to-provider contracting is a strategy ...- 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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The Center for Health Care Strategy (CHCS)
The Center for Health Care Strategy (CHCS) CHCS is a nonprofit policy center focused on improving American ...- Authors: Society of Actuaries
- Date: Jun 2017
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Payment models; Public Policy
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Our Value-Based Cup Runneth Over
ontract-already-so-we-can-start-changing-health-care? These days, population health actuaries working ... value-based care) love this work. And we all have the same objectives—higher quality care, healthier populations ...- Authors: Daniel Reck (Dan), Lisa Swan, Sam Johnmeyer
- Date: Aug 2022
- Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Provider risk
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Possible Future of U.S. Healthcare
difference between a Single-Payer and Universal Health Care System, and how could the U.S. implement a system ... quality. Medicare for All, Payment reforms=Health care payment reforms 11/22/2019 12:00:00 AM ...- 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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Outpatient Facility Reimbursement
Outpatient Facility Reimbursement Review of reimbursement methodologies APGs, APCs, Medicare ASC, discount ... benchmarking. Issue No. 44. Payment models=Health care payment models; 9410 10/1/2002 12:00:00 AM ...- Authors: Brian Small
- Date: Oct 2002
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models
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A Comparison Between the ACA Exchange and Medicare Risk Adjustment Programs
A Comparison Between the ACA Exchange and Medicare Risk Adjustment Programs Risk adjustment is ... Health risks;Patient Protection and Affordable Care Act;Medicare;Risk modeling;Risk transfer 6442459390 ...- Authors: Kurt Wrobel
- Date: Jan 2015
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
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Provider Risk-Sharing and Random Noise
infrastructure. Pricing actuaries will need to estimate the direct effect of random fluctuations, the indirect effect ... Some- times Shi Accountability to HMOs. Managed Care, Dec. 1, 2000. https://www .managedcaremag.com ...- 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