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Improving Outcomes Through Incentives: Using a Global Budget with Risk Sharing to Drive Cost Savings and Improved Quality
we exceed the tar- get. For example, as shown in Table 1, the hospital provider partner can exercise a ... their relevance and viability in the market. Table 1 Partner at Risk Service Category target (pmpm) ...- Authors: Edward Cymerys
- Date: May 2013
- Competency: Relationship Management>Relationships and trust; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Management partnership; Technical Skills & Analytical Problem Solving>Innovative solutions
- Publication Name: Health Watch
- Topics: Health & Disability>Health care; Health & Disability>Health insurance; Health & Disability>Payment models
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Health Actuaries and the Short-term Prediction Problem
Health Actuaries and the Short-term Prediction Problem This article discusses challenges that short-term ... dramatically impacted by exogenous factors. Mortality tables would be an example of this long-term ...- Date: May 2012
- Competency: Communication>Oral communication; Communication>Written communication; External Forces & Industry Knowledge>General business skills; Leadership>Influence; Professional Values>Practice expertise; Relationship Management>Relationships and trust; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Management partnership
- Publication Name: Health Watch
- Topics: Actuarial Profession>Best practices; Actuarial Profession>Standards of practice; Modeling & Statistical Methods>Forecasting; Modeling & Statistical Methods>Sensitivity testing