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Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal ... accountable care organizations. Capitations would be risk-adjusted, non-capitated costs would be covered ...- 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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Pricing Aggregate Stop-Loss Coverage
T I O N NE W S8 JUNE 2002 1. Find the members that represent the target popula- tion for risk management ... low-cost in the prior twelve months”. These members are found from the traditional sources of medical claims ...- Authors: Charles S Fuhrer
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Reinsurance>Stop-loss insurance
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Current Issues In Stop Loss Market
What are the current trends and issues facing the market as it regains profitability? The panel of Ray Marra ... Marra of The Hartford, Mike McLean of Medical Risk Managers (MRM), and Jerry Winkelstein, who is an independent ...- Authors: Daniel Wolak
- Date: Sep 2001
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Reinsurance>Stop-loss insurance
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Insurers Giving Away The Store With AggregatingSpecific Pricing
Insurers Giving Away The Store With AggregatingSpecific Pricing Adding aggregating specific provisions ...- Authors: Gregory J Sullivan, Matthew Condos
- Date: Jun 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Reinsurance>Stop-loss insurance
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Stop Loss Myths Debunked
Stop Loss Myths Debunked In this article, the author shares some opinions and observations derived from ... from his experiences as a major reinsurer of stop loss in the early 80’s and as a rapidly growing stop ...- Authors: John K Ahrens
- Date: Sep 2008
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations
- Publication Name: Health Watch
- Topics: Reinsurance>Stop-loss insurance
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A Brief Note About Pricing Aggregate Stop-Loss Coverage
A Brief Note About Pricing Aggregate Stop-Loss Coverage The impact of benefit design on the cost ... Aggregate Stop-Loss Coverage The impact of benefit design on the cost of Aggregate Stop-Loss Coverage ...- Authors: Robert G Mallison
- Date: Jan 2002
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Reinsurance>Health reinsurance; Reinsurance>Stop-loss insurance
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Medical Aggregate Stop Loss Claim Frequencies
hen I first got involved in medical stop loss in the mid-1980s, there was an expectation that there would ... claims have become much more frequent. Almost all of the Merrill Lynch / Howard Johnson & Company (ML/HJ) ...- Authors: David E Olsho, MARK WILLIAM MCALLISTER
- Date: Aug 2000
- Competency: Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Health Watch
- Topics: Reinsurance>Stop-loss insurance