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Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
Provider Payment ... P F O U r W In n E r S O F T H E H E A l T H W A T C H A r T IC l E C O n T E S T Provider ... P F O U r W In n E r S O F T H E H E A l T H W A T C H A r T IC l E C O n T E S T (2) ...- Authors: Mark Florian
- Date: Sep 2010
- Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
- Publication Name: Health Watch
- Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance
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Hospital Entry Into Health Care Financing
Hospital Entry Into Health Care Financing Presented at October 1986 Annual Meeting. Discussion ... risks and financial incentives from the hospital's perspective, and whether hospitals are marginally ...- Authors: John Fritz, Ronald D Osborne, Virginia S Olds, Clifford Keith Powell
- Date: Oct 1986
- Competency: External Forces & Industry Knowledge>External forces and business performance; Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Payment models
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Network Development Issues
Panelists: EDWARD C. CYMERYS PENNELL W. HAMILTON PAMELA S. WOODLEY Recorder: JOSEPH L. WILSON Summary: What ... shown in Table 1, (these numbers are fictitious), we would probably pick the 150 rate. TABLE 1 IDS Z/BRAND ...- Authors: Edward Cymerys, Pennell Hamilton, Pamela Woodley, Joseph L Wilson
- Date: Jun 1996
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Payment models
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Joint Ventures In Health Care Financing
side has an idea that it is bringing more to the table. An example: I had an HMO client that was going ... couple of our ventures in a little bit of detail -- U.S. Health Care and Peak Health Care. Also, I want ...- Authors: Stephen H Berkey, William Finch, Gregory N Herrle, Robert P Jackson, David J McLean
- Date: Oct 1986
- Competency: Strategic Insight and Integration>Strategy development
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Payment models
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The Medicare Advantage 5-Star Rating Program and Its Implications for Actuaries
payment percentages by star rat- ing are shown in the table in Figure 1. The percentage of the savings a plan ... rebate percentages by star rating are shown in the table in Figure 2. Special rules apply to low-enrollment ...- Authors: Adrian L Clark, Gabriela Dieguez, Bradley James Piper
- Date: May 2012
- Competency: External Forces & Industry Knowledge>External forces and business performance; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Health Watch
- Topics: Health & Disability>Health insurance; Health & Disability>Payment models; Public Policy
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Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable Model
Value Based and Accountable Care: The Actuarial and Clinical Role in Building a Sustainable ... better, and the organizations are more capable. The table below summarizes the transitions needed to help ...- Authors: Mark Bethke, James M Whisler, Amanda Holland
- Date: May 2013
- Competency: Leadership>Change management; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Payment models; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing; Modeling & Statistical Methods>Value at risk - Modeling & Statistical Methods; Public Policy