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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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Understanding the Medical Stop-Loss Market
June 2022 Employers, insurers, HMOs and health care providers spend $26+ billion per year protecting ... reinsurance at a lower specific attachment point until its care management for that segment is established. Reinsurance ...
- Authors: Keith Passwater, Peter Robinson, David Nelson
- Date: Jun 2022
- Competency: External Forces & Industry Knowledge
- Publication Name: Health Watch
- Topics: Reinsurance; Health & Disability>Provider risk
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Give Me Some Credibility: Addressing the Challenge of Volatility in Value-Based Contracts—Part 2
Contracts—Part 2 Discover the key components of value-based care (VBC) contracts and their impact on provider credibility ... Health Watch, May 2023 Value-based care (VBC) in the US health care market is a mechanism that aligns ...
- Authors: Maria Knox, James Pisko, Keith Passwater
- Date: May 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; 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; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
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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