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  • Evaluating Payment Models for High-Cost Curative Therapies
    Evaluating Payment Models for High-Cost Curative Therapies This report evaluates alternative payment models that potentially could be instituted by healthcare payers and manufacturers. Health ...

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    • Authors: Society of Actuaries
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care; Health & Disability>Payment models
  • Controlling Indirect Selection under Healthcare Reform
    Controlling Indirect Selection under Healthcare Reform This dissertation by Tia Sawhney will help you understand this issue and start measuring it, or start promoting equitable public policy.

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    • Authors: Tia Sawhney
    • Date: Nov 2012
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Economics>Health economics; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Payment models; Modeling & Statistical Methods>Data mining; Modeling & Statistical Methods>Modeling efficiency; Predictive Analytics
  • MACRA/QPP Payer Revenue Model
    MACRA/QPP Payer Revenue Model The MACRA/QPP Payer Revenue Model is designed to provide Health Plans an estimate of the expected claim cost increase/decrease due to MACRA. Healthcare quality, ...

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    • Authors: Julie Witt
    • Date: Sep 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models; Modeling & Statistical Methods; Health & Disability>Affordable Care Act (ACA)
  • Risk Adjusters
    Risk Adjusters This is a review of literature about the development and application of medical risk adjustment models. The current Medicare model, principal inpatient diagnosis cost group ...

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    • Authors: Society of Actuaries
    • Date: Nov 2002
    • Competency: Technical Skills & Analytical Problem Solving
    • Topics: Health & Disability>Payment models
  • Evaluating Payment Models for High-Cost Curative Therapies
    Evaluating Payment Models for High-Cost Curative Therapies This report evaluates alternative payment models that potentially could be instituted by healthcare payers and manufacturers. Health ...

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    • Authors: Didier Serre, Joanne L Buckle, Jessica Marie Naber, Anne M Jackson
    • Date: Oct 2018
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care; Health & Disability>Payment models