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Value Based Care: Mastering Provider Quality Ratings and Performance for Maximum Reimbursement

Value Based Care: Mastering Provider Quality Ratings and Performance for Maximum Reimbursement

BySalus One Ed

This 460-page guide provides the reader comprehensive information required to understand the underlying theory, working processes, and necessary infrastructure to enable modernized provider quality rating and reimbursement capabilities including: - understanding of payors difficulties in maintaining state and federal regulatory compliance in reporting clinical outcomes of current members - key industry drivers around ratings and reimbursements and how they individually and collectively affect payors, members, and providers - comparison of existing business and technical infrastructure versus optimal target state solutions required to efficiently manage ratings and outcomes - contribute to internal and external projects, current employers or other stakeholders within insurance environments - transition from fee-for-service to value-based reimbursement activities, - prototypical commercial payor system and process flows, industry data collection and enrollment reporting methods, - and much more...

Details

Publication Date
Jan 21, 2016
Language
English
ISBN
9781329846340
Category
Business & Economics
Copyright
All Rights Reserved - Standard Copyright License
Contributors
By (author): Salus One Ed

Specifications

Format
PDF

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