1
-
8
of
8
results (0.38 seconds)
Sort By:
-
Restoring the Indifference Ideal: If It’s Not Adjusting for “Risk,” It’s Not “Risk Adjustment”
selection was practiced in ACA markets before 2018.[17] As risk adjustment has always been viewed as imprecise ... Adjustment, Reinsurance, and Risk Corridors. KFF, Aug. 17, 2016, https://www.kff.org/health-reform/issue-b ...- Authors: Greg Fann
- Date: Jun 2022
- Competency: Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Experience Studies & Data; Health & Disability>Health care
-
Accountable Care Organizations: An Untapped Opportunity
Accountable Care Organizations: An Untapped Opportunity Since health care reform has made accountable ... Health Affairs Blog, August 17, 2009, http://healthaffairs.org/blog/2009/08/17/the-accountable-care- or ...- Authors: Jim Toole, Sara Teppema
- Date: Sep 2010
- Competency: External Forces & Industry Knowledge>External forces and business performance; Leadership>Thought leadership; Professional Values>Public interest representation; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Health & Disability>Health care; Public Policy
-
Possible Future of U.S. Healthcare
disease accounting for 90 percent of health care costs,17 I have heard estimates that as much as 50 percent ... Journal of the Amer- ican Medical Association 318, no. 17. https://jamanetwork.com/journals/jama/ fullarticle/2661579 ...- 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
-
Session 008: Best Practices in Risk-Based Contracts
Session 008: Best Practices in Risk-Based Contracts More and more providers are desiring ... programs, which impacts final settlement risk scores 17 Risk adjustment is intended to normalize the health ...- Authors: Traci Leigh Hughes, Daniel Santmyer, Joseph Dean Heintzelman , Michael Goran, Jennifer Leazzo
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
-
Session 038: Actuarial implications of a Medicare buy-in option
Session 038: Actuarial implications of a Medicare buy-in option There have been a variety of proposals ... Medicare Advantage buy-in option for older adults 17 Actuarial considerations Eligibility requirements ...- Authors: Lindsy Marie Kotecki, Stanley Wayne Westrom Jr.
- Date: Jul 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health care; Public Policy
-
Nuts and Bolts of Managed-Care Provider Networks
that in 1990 the average physician PPO discount was 17% of charges, increasing to 20% in 1991. There are ... discount reported by PPOswas 16% of charges in 1990, and 17% in 1991. Information on managed-care contracts ...- Authors: Nancy F Nelson, Application Administrator, Richard W Kaplan
- Date: Apr 1993
- Competency: Strategic Insight and Integration
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care
-
Paper 5: Evaluating Disease Management Savings Outcomes
Paper 5: Evaluating Disease Management Savings Outcomes This is one of a series of SOA-sponsored papers ... Wilson and MacDowell; reproduced by permission. 17 A “Type I” metric is the most basic measure ...- Authors: Ian G Duncan
- Date: Oct 2005
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health care
-
Consumerism and Consumer Choice - Implications for Health Plans
Consumerism and Consumer Choice - Implications for Health Plans The session covers strategies and products ... Implications For Health Plans 17 one-on-one basis, but the frequency of use or utilization ...- Authors: David Ogden, William M Sneden, David M Tuomala, Ryan Levin
- Date: May 2001
- Competency: Strategic Insight and Integration
- Publication Name: Record of the Society of Actuaries
- Topics: Health & Disability>Health care