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  • Direct Primary Care: Good for What Ails Us
    Direct Primary Care: Good for What Ails Us Discussion of direct primary care and how it helps with several ... several challenges in health care today. DPC improves care coordination, improves outcomes, improves ...

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    • Authors: Gayle Brekke
    • Date: May 2016
    • Competency: External Forces & Industry Knowledge>Actuarial theory in business context; Leadership>Thought leadership; Professional Values>Public interest representation; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health insurance; Health & Disability>Payment models
  • Using Predictive Modeling to Risk-Adjust Primary Care Panel
    Using Predictive Modeling to Risk-Adjust Primary Care Panel This article discusses techniques used to ... create risk scores to help determine appropriate primary care panel sizes for a provider organization. Predictive ...

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    • Authors: Anders Larson
    • Date: Jun 2017
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Predictive Analytics and Futurism Newsletter
    • Topics: Health & Disability>Payment models; Predictive Analytics
  • 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 ... describes enhanced primary care models and provides citations on whether or not health care savings have been ...

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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
  • 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? Direct-to-provider contracting is a strategy ...

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    • 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
  • Session 186: Evolving Value Based Programs and the Impacts on Provider Analytics & Reporting
    Session 186: Evolving Value Based Programs and the Impacts on Provider Analytics & Reporting ... ACO. They will also discuss the new Primary Care First and Direct Contracting models recently announced ...

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    • Authors: Patrick Jason Colbert, Jeremiah Reuter, Joshua McPhee
    • Date: Mar 2020
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Payment models
  • The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death!
    The U.S. Health Care Revolution: Give Me an Incentivized Provider Payment System or Give Me Death! A ... A proposal to reform the health care provider payment system through: a national fee schedule, shifting ...

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    • Authors: John Dante
    • Date: Sep 2010
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Influence decisions
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Public Policy
  • Palliative Care
    Palliative Care This article from major US payers describes palliative care as a scaleable means of ... Payment models=Health care payment models;Health care costs;Managed care;Home health care 6442471996 11/1/2016 ...

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    • Authors: Randall Krakauer, Bruce Smith, Diane Meier, Torrie Fields
    • Date: Nov 2016
    • Competency: Leadership>Change management; Leadership>Influence; Leadership>Mentoring; Leadership>Professional network leverage; Leadership>Thought leadership; Results-Oriented Solutions>Actionable recommendations; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Enterprise Risk Management>Systematic risk; Experience Studies & Data>Morbidity; Experience Studies & Data>Mortality; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Payment models
  • 073 - Employer to Provider Direct Contracting - What's The Big Deal?
    073 - Employer to Provider Direct Contracting - What's The Big Deal? This session will provide information ... provider direct contracting. We will discuss the number and types of the most prevalent direct contracts ...

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    • Authors: Kevin Dotson, Robert Joseph Nation, James Patrick Hazelrigs
    • Date: Jul 2019
    • Competency: Strategic Insight and Integration
    • Topics: Health & Disability>Health insurance; Health & Disability>Payment models
  • Direct Contracting and Other Models: How CMS, Providers, and Employers Continue to Challenge the Status Quo
    Direct Contracting and Other Models: How CMS, Providers, and Employers Continue to Challenge the Status ...

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    • Authors: Matthew Smith, James Gerald Lucas, Brian Allen Sweatman
    • Date: Jun 2020
    • Competency: External Forces & Industry Knowledge
    • Topics: Health & Disability; Health & Disability>Payment models
  • Health Care Technology
    Health Care Technology The last three decades have witnessed an important rise in number of people with ...

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    • 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