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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 ...- 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
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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 ...- 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
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Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans?
Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans? Can Direct-to-Provider Contracting Achieve Value-Based Care for Employer-Sponsored Plans? ...- Authors: Andrew James Timcheck, Cory Gusland, Michael Gaal
- Date: Dec 2019
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Payment models
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International Health Care Systems
International Health Care Systems Compares the healthcare system of the US to the universal systems of selected other countries. Relies primarily on information compiled annually by The ...- Authors: Christopher Slaybaugh
- Date: Jan 2021
- Competency: External Forces & Industry Knowledge
- Publication Name: In The Public Interest
- Topics: Health & Disability>Health care; Health & Disability>Payment models; Health & Disability>Public financing - Health & Disability
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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 ...- Authors: Society of Actuaries
- Date: Oct 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Payment models
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The Revolutionary Actuary
The Revolutionary Actuary The article provides insights about the need for revolutionary actuaries in Saudi Arabia due to the reform that is happening across the kingdom under all sectors. Then I ...- Authors: Ashwag Alzahrani
- Date: Oct 2020
- Competency: External Forces & Industry Knowledge; Professional Values; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: International News
- Topics: Actuarial Profession; Health & Disability; Health & Disability>Health care; Health & Disability>Payment models; Health & Disability>Vision
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Health Care Technology
Health Care Technology The last three decades have witnessed an important rise in number of people with diabetes in Asia, especially Type 2 Diabetes. Like no other common condition, numerous ...- Authors: Society of Actuaries
- Date: Jun 2019
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Critical illness insurance; Health & Disability>Health care; Health & Disability>Health information technology; Health & Disability>Payment models
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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 ...- 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
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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, ...- 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)
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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 ...- 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