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  • MACRA/QPP Provider Revenue Model
    MACRA/QPP Provider Revenue Model The MACRA/QPP Provider Revenue Model is designed to provide an estimate of the revenue impact of the QPP (MIPS, AAPM) on a provider group or ACO, based on the ...

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    • Authors: Julie Witt
    • Date: Sep 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability>Health care quality; Health & Disability>Affordable Care Act (ACA); Health & Disability>Provider risk
  • 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)
  • Provider Risk-Sharing and Random Noise
    Provider Risk-Sharing and Random Noise Discussion and Opinion on how randomness affects measurement of provider contracting risk-sharing agreements 7/3/2019 12:00:00 AM ...

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    • Authors: Thomas Messer
    • Date: Jul 2019
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Payment models; Health & Disability>Provider networks; Health & Disability>Provider risk
  • Health Plan Strategic Implications of MACRA
    Health Plan Strategic Implications of MACRA The SOA is pleased to make available a research report providing insight and considerations for the actuarial profession in assessing the potential ...

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    • Authors: Society of Actuaries
    • Date: Aug 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Affordable Care Act (ACA)
  • Health Plan Strategic Implications of MACRA
    Health Plan Strategic Implications of MACRA The SOA is pleased to make available a research report providing insight and considerations for the actuarial profession in assessing the potential ...

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    • Authors: Julie Witt, James Dolstad, Eric Carl McKeeman, Betty Siu
    • Date: Aug 2019
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Health care quality; Health & Disability>Affordable Care Act (ACA)
  • Possible Future of U.S. Healthcare
    Possible Future of U.S. Healthcare What is the difference between a Single-Payer and Universal Health Care System, and how could the U.S. implement a system that would reduce the growth of ...

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    • Authors: Roy Goldman
    • Date: Nov 2019
    • Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
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