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Better Care Through Understanding the Customer Not Just the Patient
types of data exist outside a health plan or provider’s walls that would enable us to develop a more holistic ... data sources that can help inform us of a member’s needs and wants. The first two are publicly available ...- 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
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Provider Risk-Sharing and Random Noise
paid to the provider. Table 1 breaks this down for dif- ferent size groups. Table 1 Sample Random Variation ... HMOs. Managed Care, Dec. 1, 2000. https://www .managedcaremag.com/archives/2000/12/downstream-without-paddle ...- 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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Paper 5: Evaluating Disease Management Savings Outcomes
Paper ... Table 1 shows a simple application of a randomized control design: 4 Table 1: Application ... Consider the following example shown in Table 2. Table 2: Application of Actuarial Adjustment to ...- Authors: Ian G Duncan
- Date: Oct 2005
- Competency: Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability>Health care
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AI and EMRs: Pioneering the New Frontier in Healthcare Actuarial Practice
• Uncovering Risk Score Capture Opportunies: Ulizing EMR data can reveal addional risk score ... mechanism%20for%20achieving%20this%20goal 2) Zhao, S. (2023, August). The Next Horizon of Value-based Care: ...- Authors: Netanel Lederer
- Date: May 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health information technology; Health & Disability>Provider risk; Health & Disability>Electronic medical record
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Behavioral Economics: Overview and Healthcare Applications
tends to increase potential donor consent rates. Table 1 presents a summary of examples of possible applications ... theory to health and welfare insurance plans. Table 1 Sample Applications of Behavioral Economics Theories ...- Authors: Randy P Herman, Tony Pistilli, Brian Plaskow, Jeffrey Chanin
- Date: Aug 2020
- Competency: External Forces & Industry Knowledge; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Economics; Economics>Behavioral economics; Economics>Health economics; Health & Disability; Health & Disability>Health care