Risk Adjustment In The Netherlands
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Risk Adjustment In The Netherlands
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Author : Rudy C. Douven
language : en
Publisher:
Release Date : 2004
Risk Adjustment In The Netherlands written by Rudy C. Douven and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2004 with Health insurance categories.
Risk Adjusting Health Care Resource Allocations
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Author : Adam J. Oliver
language : en
Publisher:
Release Date : 1999-01-01
Risk Adjusting Health Care Resource Allocations written by Adam J. Oliver and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999-01-01 with Health insurance categories.
Risk Adjustment Risk Sharing And Premium Regulation In Health Insurance Markets
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Author : Thomas G. McGuire
language : en
Publisher: Academic Press
Release Date : 2018-08-06
Risk Adjustment Risk Sharing And Premium Regulation In Health Insurance Markets written by Thomas G. McGuire and has been published by Academic Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-08-06 with Business & Economics categories.
Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets: Theory and Practice describes the goals, design and evaluation of health plan payment systems. Part I contains 5 chapters discussing the role of health plan payment in regulated health insurance markets, key aspects of payment design (i.e. risk adjustment, risk sharing and premium regulation), and evaluation methods using administrative data on medical spending. Part II contains 14 chapters describing the health plan payment system in 14 countries and sectors around the world, including Australia, Belgium, Chile, China, Columbia, Germany, Ireland, Israel, the Netherlands, Russia, Switzerland and the United States. Authors discuss the evolution of these payment schemes, along with ongoing reforms and key lessons on the design of health plan payment. Provides a conceptual toolkit that describes the goals, design and evaluation of health plan payment systems in the context of policy paradigms, such as efficiency, affordability, fairness and avoidance of risk selection Brings together international experience from many different countries that apply regulated competition in different ways Delivers a practical toolkit for the evaluation of health plan payment modalities from the standpoint of efficiency and fairness
Regulated Competition In Health Insurance Markets
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Author : Rudy C. Douven
language : en
Publisher:
Release Date : 2000
Regulated Competition In Health Insurance Markets written by Rudy C. Douven and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Competition categories.
Fairness Cost And Quality In Health Care
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Author : Nancy Mattison
language : en
Publisher:
Release Date : 1996
Fairness Cost And Quality In Health Care written by Nancy Mattison and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996 with Health insurance categories.
Healthcare Risk Adjustment And Predictive Modeling
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Author : Ian G. Duncan
language : en
Publisher: ACTEX Publications
Release Date : 2011
Healthcare Risk Adjustment And Predictive Modeling written by Ian G. Duncan and has been published by ACTEX Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Business & Economics categories.
This text is listed on the Course of Reading for SOA Fellowship study in the Group & Health specialty track. Healthcare Risk Adjustment and Predictive Modeling provides a comprehensive guide to healthcare actuaries and other professionals interested in healthcare data analytics, risk adjustment and predictive modeling. The book first introduces the topic with discussions of health risk, available data, clinical identification algorithms for diagnostic grouping and the use of grouper models. The second part of the book presents the concept of data mining and some of the common approaches used by modelers. The third and final section covers a number of predictive modeling and risk adjustment case-studies, with examples from Medicaid, Medicare, disability, depression diagnosis and provider reimbursement, as well as the use of predictive modeling and risk adjustment outside the U.S. For readers who wish to experiment with their own models, the book also provides access to a test dataset.
Health Systems Policy Finance And Organization
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Author : Guy Carrin
language : en
Publisher: Academic Press
Release Date : 2010-05-22
Health Systems Policy Finance And Organization written by Guy Carrin and has been published by Academic Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-05-22 with Medical categories.
This volume is unique in its systematic approach to these three pillars of health systems analysis will give readers of various backgrounds authoritative material about subjects adjacent to their own specialties. Assembling such comparative materials is usually an onerous task because so many programs possess their own vocabularies, goals, and methods. This book will provide common grounds for people in programs as diverse as economics and finance, allied health, business and management, and the social sciences, including psychology. Gives readers of various backgrounds authoritative material about subjects adjacent to their own specialties Provides common grounds for people in programs as diverse as economics and finance, allied health, business and management, and the social sciences, including psychology
Assessing Chronic Disease Management In European Health Systems
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Author : World Health Organization
language : en
Publisher:
Release Date : 2015-12-16
Assessing Chronic Disease Management In European Health Systems written by World Health Organization and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-12-16 with Medical categories.
This publication explores some of the key issues, ranging from interpreting the evidence base to assessing the policy context for, and approaches to, chronic disease management across Europe. Drawing on 12 detailed country reports (available in a second, online volume), the study provides insights into the range of care models and the people involved in delivering these; payment mechanisms and service user access; and challenges faced by countries in the implementation and evaluation of these novel approaches.
Organization And Financing Of Public Health Services In Europe
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Author : Who Regional Office for Europe
language : en
Publisher: World Health Organization
Release Date : 2018-06-29
Organization And Financing Of Public Health Services In Europe written by Who Regional Office for Europe and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-06-29 with Medical categories.
What are public health services? Countries across Europe understand what they are or what they should include differently. This study describes the experiences of nine countries detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce. It covers England France Germany Italy the Netherlands Slovenia Sweden Poland and the Republic of Moldova and aims to give insights into current practice that will support decision-makers in their efforts to strengthen public health capacities and services. Each country chapter captures the historical background of public health services and the context in which they operate; sets out the main organizational structures; assesses the sources of public health financing and how it is allocated; explains the training and employment of the public health workforce; and analyses existing frameworks for quality and performance assessment. The study reveals a wide range of experience and variation across Europe and clearly illustrates two fundamentally different approaches to public health services: integration with curative health services (as in Slovenia or Sweden) or organization and provision through a separate parallel structure (Republic of Moldova). The case studies explore the context that explain this divergence and its implications. This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications Organization and financing of public health services in Europe and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance (both forthcoming).
World Scientific Handbook Of Global Health Economics And Public Policy A 3 Volume Set
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Author : Scheffler Richard M
language : en
Publisher: World Scientific
Release Date : 2016-01-28
World Scientific Handbook Of Global Health Economics And Public Policy A 3 Volume Set written by Scheffler Richard M and has been published by World Scientific this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-01-28 with Health & Fitness categories.
This Handbook covers major topics in global health economics and public policy and provides a timely, systematic review of the field. Edited by Richard M Scheffler, Distinguished Professor of Health Economics and Public Policy and Director of the Global Center for Health Economics and Policy Research at the University of California, Berkeley, the Handbook features academics and practitioners from more than a dozen countries. Contributors are from the London School of Economics and Political Science, Pompeu Fabra University in Barcelona, University of York, University of Oslo, London School of Hygiene and Tropical Medicine, University of California - Berkeley, Stanford University, Johns Hopkins University, University of Toronto, University of Oxford, Harvard Medical School, OECD, the World Health Organization and the World Bank, many of whom have also acted as economic and policy advisors to government and non-governmental organizations across the world. Experts in these areas who provide critical analyses and relevant data for further exploration and research include: Thomas E Getzen, Executive Director of the International Health Economics Association (iHEA); Douglas E Hough, Associate Scientist and Associate Director of the Master in Healthcare Management programme at the Bloomberg School of Public Health of John Hopkins University; Guillem López-Casasnovas, former President of iHEA and member of the Advisory Council of the Spanish Health and Social Welfare Ministry and of the Advisory Council of the Catalan Health Ministry since 1984; Alistair McGuire, Professor of Health Economics at the London School of Economics and Political and advisor to a number of governments and governmental bodies across Europe; Tor Iversen, Research Director at the Health Economics Research Programme at the University of Oslo and former member of the iHEA Arrow Award Committee 2007-2011; William H Dow, Professor and Associate Dean for Research at University of California ,Berkeley and former Senior Economist for the Council of Economic Advisors (White House); Audrey Laporte, the Director of the Canadian Centre for Health Economics; Alexander S Preker, President and CEO of Health Investment & Financing Corporation; Ayda Yurekli, who initiated and developed the World Health Organization TaXSiM simulation model that has been used by many Ministries of Finance around the world for the development of tax policies; Marko Vujicic, Managing Vice President of the Health Policy Resources Center at the American Dental Association; Mark Sculpher, Director of the Programme on Economic Evaluation and Health Technology Assessment at the University of York and former President of the International Society of Pharmacoeconomics and Outcomes Research (ISPOR) (2011-2012); and Peter Berman, who has had almost 40 years of experience in global health and was formerly a Lead Health Economist at the World Bank. The Handbook spans across three volumes. The chapters deal with key global issues in health economics, are evidence-based, and offer innovative policy alternatives and solutions. The Handbook's approach toward global health economics and public policy will make it a useful resource for health economists, policymakers, private sector companies, NGOs, government decision-makers and those who manage healthcare systems.