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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 risk-based contracts instead of traditional FFS-based contracts. This session is intended to outline some ...- 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 059: ACA Risk Adjustment Data Validation – It Matters! Learning from Year 1 and Beyond
Session 059: ACA Risk Adjustment Data Validation – It Matters! Learning from Year 1 and Beyond "The ACA RADV Program will begin to impact issuers’ risk transfers in the 2018 benefit year (BY) ...- Authors: Karena Weikel, Chia Yi Chin, Matthew Sauter, Alexander Mark Vojta
- Date: Jul 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health insurance
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Session 125: Pathways to Success: How the MSSP Final Rule has Re-vamped the Program
Session 125: Pathways to Success: How the MSSP Final Rule has Re-vamped the Program On December 21, 2018, the Centers of Medicare & Medicaid Services (CMS) released the final rule for ...- Authors: Noah Champagne, Richard A. Lassow
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health insurance; Public Policy
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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 Care System, and how could the U.S. implement a system that would reduce the growth of ...- 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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Session 045: Operational Risk Management for Health Insurance
Session 045: Operational Risk Management for Health Insurance Enterprise Risk Management is often thought to be synonymous with managing an insurance company toward financial objectives with a ...- Authors: Marc Lambright, Edward M Mailander, Rebecca B Scotchie
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Enterprise Risk Management>Operational risks; Health & Disability>Health insurance