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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
  • 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
  • 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
  • Better Care Through Understanding the Customer Not Just the Patient
    Better Care Through Understanding the Customer Not Just the Patient Better Care Through Understanding ... Customer Not Just the Patient As actuaries in health care, we spend most of our time focused on reviewing ...

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    • Authors: James Dolstad, Craig Cartossa, Justin Hartmann
    • Date: Dec 2021
    • Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
  • Valuation of Care Management Vendors
    Valuation of Care Management Vendors Methods and assumptions used in the valuation of savings by external ... external care vendors 5/1/2020 12:00:00 AM ...

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    • Authors: Rick S Pawelski
    • Date: May 2020
    • Competency: Results-Oriented Solutions; Technical Skills & Analytical Problem Solving
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models
  • The Center for Health Care Strategy (CHCS)
    The Center for Health Care Strategy (CHCS) CHCS is a nonprofit policy center focused on improving American ...

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    • Authors: Society of Actuaries
    • Date: Jun 2017
    • Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Health care; Health & Disability>Payment models; Public Policy
  • Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative
    Value-Based Care: The Role of the Health Care Provider Actuary A Health Section Strategic Initiative ... Strategic Initiative Committee. Health economics;Health care costs;Payment reforms 6442480947 2/1/2018 12:00:00 ...

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    • Authors: Gregory Fann
    • Date: Feb 2018
    • Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
    • Publication Name: Health Watch
    • Topics: Health & Disability>Payment models
  • Provider Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives
    Payment Reform: An Accountable Care Approach to Alignment of Health Care Goals and Incentives A proposal ... payment issues by gradually moving to accountable care organizations. Capitations would be risk-adjusted ...

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    • Authors: Mark Florian
    • Date: Sep 2010
    • Competency: Leadership>Thought leadership; Professional Values>Public interest representation; Results-Oriented Solutions>Actionable recommendations; Strategic Insight and Integration>Strategy development
    • Publication Name: Health Watch
    • Topics: Economics>Health economics; Health & Disability>Health care quality; Health & Disability>Payment models; Public Policy; Reinsurance>Stop-loss insurance