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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 ... Health Care System, and how could the U.S. implement a system that would reduce the growth of medical costs ...- 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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Our Value-Based Cup Runneth Over
Honestly, we’re not sure. (We just looked it up. It’s 37.) To make things more complicated, each contract ... of inconsistency across value-based contracts, let’s dive into one important piece of these arrangements: ...- Authors: Daniel Reck (Dan), Lisa Swan, Sam Johnmeyer
- Date: Aug 2022
- Competency: Communication; External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Health & Disability>Chronic health management - Health & Disability; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Payment models; Health & Disability>Provider risk
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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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The Forgotten Variable in the Health Care Equation
outcomes (increased life expectancy, lower infant mortality rates, reduced chronic illness burden and so ... health, how it touches all of us and influences the U.S. population health. We also take a closer look at ...- Authors: Bethany McAleer
- Date: Jun 2018
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability>Health care quality; Public Policy; Public Policy
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New Contract Medicare Star Ratings: Why The Sudden Cliff?
TIMELINE FOR MEDICARE ADVANTAGE STAR RATINGS The table below illustrates the various aspects of the Star ... impact a Medi- care Advantage plan financially. Table A1 below gives the breakdown of the Quality Bonus ...- Authors: Suzanna-Grace Sayre, Danielle Beierle
- Date: Jan 2020
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance