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Session 063: The Science of Health Care Improvement: Overcoming Unintended Variation
Session 063: The Science of Health Care Improvement: Overcoming Unintended Variation While there are many approaches currently being taken to transform health care, to be successful, we know that ...- Authors: Graydon M Clouse , Ted A. James
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality
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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 ...- 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
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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, ...- 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)
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Ehren Nagel: SOA Predictive Analytics Certificate Has Positively Impacted My Work
Ehren Nagel: SOA Predictive Analytics Certificate Has Positively Impacted My Work Early in his career, Ehren Nagel, FSA, MAAA, scoured through podcasts and articles about predictive analytics, ...- Authors: Society of Actuaries
- Date: Nov 2019
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques; Predictive Analytics>Programming languages & tools; Health & Disability>Electronic medical record
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Session 023: A Common Vision of Value-Based Care: Case studies of Payer-Provider Collaboration
Session 023: A Common Vision of Value-Based Care: Case studies of Payer-Provider Collaboration In the current value-based care marketplace, there are various reimbursement models that tie ...- Authors: David Hanekom, Maureen B Tresnak , Fan Zhang
- Date: May 2019
- Competency: Strategic Insight and Integration
- Topics: Health & Disability>Health care quality; Health & Disability>Payment models
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Yi-Ling Lin: SOA Predictive Analytics Program Prepares You for Health Care’s Future
Yi-Ling Lin: SOA Predictive Analytics Program Prepares You for Health Care’s Future Yi-Ling Lin, FSA, MAAA, FCA, started the SOA’s Predictive Analytics Certificate Program to keep pace with the ...- Authors: Society of Actuaries
- Date: Nov 2019
- Topics: Health & Disability; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Affordable Care Act (ACA); Health & Disability>Association Health Plans; Health & Disability>Claims - Health & Disability; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques; Predictive Analytics>Programming languages & tools; Health & Disability>Electronic medical record
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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 ...- 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
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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 ...- 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)
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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 ...- 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)
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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 ...- 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