Risk Adjusting Health Care Resource Allocations

Risk Adjusting Health Care Resource Allocations PDF Author: Adam J. Oliver
Publisher:
ISBN: 9781899040216
Category : Health insurance
Languages : en
Pages : 67

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Book Description

Risk Adjusting Health Care Resource Allocations

Risk Adjusting Health Care Resource Allocations PDF Author: Adam J. Oliver
Publisher:
ISBN: 9781899040216
Category : Health insurance
Languages : en
Pages : 67

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Book Description


Population Based Resource Allocation

Population Based Resource Allocation PDF Author: Manuel García Goñi
Publisher:
ISBN:
Category :
Languages : en
Pages :

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Health System Efficiency

Health System Efficiency PDF Author: Jonathan Cylus
Publisher: Health Policy
ISBN: 9789289050418
Category : Medical
Languages : en
Pages : 264

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Book Description
In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.

Valuing Health

Valuing Health PDF Author: Phelps
Publisher: Oxford University Press, USA
ISBN: 9780197686287
Category : Education
Languages : en
Pages : 0

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Risk Adjustment for Measuring Healthcare Outcomes

Risk Adjustment for Measuring Healthcare Outcomes PDF Author: Lisa I. Iezzoni
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 632

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Book Description
Our book aims to introduce the issues underlying risk adjustment and to suggest important conceptual and methodological considerations in designing and evaluating a risk-adjustment strategy. This second edition builds on the conceptual discussions of the first edition, adding more empirical evidence to underscore important points. Since completing the first edition in 1993, significant studies involving risk adjustment have either concluded or published pertinent findings, including the National Veterans Affairs Surgical Risk Study, the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment, the Medical Outcomes

Improving Health in the Community

Improving Health in the Community PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309055342
Category : Medical
Languages : en
Pages : 497

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Book Description
How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

The Future of Disability in America

The Future of Disability in America PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309104726
Category : Medical
Languages : en
Pages : 619

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Book Description
The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.

Communities in Action

Communities in Action PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583

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Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Healthcare Risk Adjustment and Predictive Modeling

Healthcare Risk Adjustment and Predictive Modeling PDF Author: Ian G. Duncan
Publisher:
ISBN: 9781635884135
Category : Health risk assessment
Languages : en
Pages : 580

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Book Description


Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets

Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets PDF Author: Thomas G McGuire
Publisher: Academic Press
ISBN: 9780128113257
Category : Business & Economics
Languages : en
Pages : 0

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Book Description
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.