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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? Direct-to-provider contracting is a strategy ...- 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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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 ...- Authors: Patrick Jason Colbert, Jeremiah Reuter, Joshua McPhee
- Date: Mar 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Payment models
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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 ...- Authors: Matthew Smith, James Gerald Lucas, Brian Allen Sweatman
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability; Health & Disability>Payment models
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Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics
Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics The presenters will ...- Authors: Kwame Smart, Mark Russell, Steve Richardson
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Payment models
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Possible Future of U.S. Healthcare
difference between a Single-Payer and Universal Health Care System, and how could the U.S. implement a system ... quality. Medicare for All, Payment reforms=Health care payment reforms 11/22/2019 12:00:00 AM ...- 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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The Revolutionary Actuary
The Revolutionary Actuary The article provides insights about the need for revolutionary actuaries ... reform. Revolutionary Actuary, health care reform, accountable care organization (ACO), qualified health ...- 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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Session 169: Risk Adjustment in Medicaid: Recent Developments
Consulting Group in 2012 • Principal in Denver Office – Primary focus on Government Programs with emphasis on ... allocate capitated payments between contracted managed care organizations Source: ResDAC Medicaid Risk Adjustment ...- Authors: Edward M Mailander, Daniel Henry
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Payment models; Public Policy; Public Policy
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Session 095: Drug Claim Management - Lessons from Canada
Session 095: Drug Claim Management - Lessons from Canada The presenters will focus on best practices ... 1 : 1 OECD, US Census Bureau, StatsCan Health Care Spend ($B) OECD Voluntary (ins, OOP, other) $693 ...- Authors: Daniel Berty, Martin Chung, Erin Crump, Ned Pojskic
- Date: Feb 2020
- Competency: Results-Oriented Solutions
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Payment models