Managed Health Care in the New Millennium (PDF)

Name: Managed Health Care in the New Millennium
Brand: Taylor & Francis
SKU: 126528428
Price: 73.49 EUR
Availability: OnlineOnly

Innovative Financial Modeling for the 21st Century (Sprache: Englisch)

Autor: David I. Samuels

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Managed Health Care in the New Millennium, David I. Samuels

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Thoroughly exploring how capitation has evolved domestically and internationally in recent years, this book discusses actuarial assumptions and the difficulties in payers transitions from community-based underwriting to experience-based ratings. It explores what the future holds in the areas of clinical pathways and population-based risk assumption tools and approaches. It covers what happens when the underlying actuarial and risk assumptions are ignored or trivialized. The author also discusses the challenges capitation-based pricing faces from an international perspective, including Latin America and the Caribbean.

Autoren-Porträt von David I. Samuels

David I. Samuels is the president and CEO of EthiCare Breakthrough Solutions/EthiCare Revenue Cycle Management, Inc., a consulting firm that specializes in sales and marketing activities tied to risk-free/net-recovery relationships and that identifies hospital undercharges by selecting specific charges for which services were rendered but never billed.