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  • Effect of RBRVS in Medicare on Private Health Insurance
    Effect of RBRVS in Medicare on Private Health Insurance This 1992 discussion is about the resource-based relative value scale [RBRVS]- where it is and where it's going, and its impact on ...

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    • Authors: Rosemary Montgomery, Woodrow H McDonald, T Allen Park, Joel E Miller, Connie Rennaker
    • Date: Apr 1992
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models
  • Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does It?
    Examining the Evidence - Enhanced Primary Care Leads to Reduced Hospital Use and Saves Costs - Or Does It? Article describes enhanced primary care models and provides citations on whether or not ...

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    • Authors: Tia Sawhney, Bruce Pyenson
    • Date: Jan 2015
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health risks; Health & Disability>Payment models
  • A Comparison Between the ACA Exchange and Medicare Risk Adjustment Programs
    A Comparison Between the ACA Exchange and Medicare Risk Adjustment Programs Risk adjustment is used to adjust the revenue stream to health insurers that sell ACA eligible plans and Medicare ...

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    • Authors: Kurt Wrobel
    • Date: Jan 2015
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Social Insurance>Medicare
  • Effect of Resource-Based RVS in Medicare on Private Health Insurance
    Effect of Resource-Based RVS in Medicare on Private Health Insurance This 1991 open forum discussion is about the resource-based relative value scale [RBRVS] and its impact on physician fee trends ...

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    • Authors: Jay P Boekhoff, Harvey Sobel, Allen Sorbo, Mary P Ratelle
    • Date: Jun 1991
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models
  • Outpatient Facility Reimbursement
    Outpatient Facility Reimbursement Review of reimbursement methodologies APGs, APCs, Medicare ASC, discount on charges, commercial hybrid, methods and trends in contracting, impact on trent, ...

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    • Authors: Brian Small
    • Date: Oct 2002
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models
  • The Center for Health Care Strategy (CHCS)
    The Center for Health Care Strategy (CHCS) CHCS is a nonprofit policy center focused on improving American health outcomes, particularly for low-income people, including payment & ...

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    • Authors: Society of Actuaries
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Payment models; Public Policy