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Session 077: Medicaid Risk Adjustment: Understanding State Specific Design & Application for Effective Program Management
the key differences that drive effective managed care organization program management. Risk adjustment ... mechanism to adjust capitation rates between Managed Care Organizations to account for population morbidity ...- Authors: Zachary Aters, Suzanna-Grace Sayre
- Date: Jul 2019
- Competency: Results-Oriented Solutions
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models
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Session 095: Drug Claim Management - Lessons from Canada
Session 095: Drug Claim Management - Lessons from Canada The presenters will focus on best practices ... 1 : 1 OECD, US Census Bureau, StatsCan Health Care Spend ($B) OECD Voluntary (ins, OOP, other) $693 ...- Authors: Daniel Berty, Martin Chung, Erin Crump, Ned Pojskic
- Date: Feb 2020
- Competency: Results-Oriented Solutions
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Payment models