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Taking on Medicare Part D risk: Provider perspective12 April 2019 - By Matthew J. Kramer and Simon Moody and Michael T. Hunter - Article

This article summarizes the key issues providers need to consider before taking on Part D risk, an increasingly common ask from Medicare Advantage organizations, and highlights some of the complexities and common barriers observed when advising provider clients on their strategies for Part D risk.

Providers, are you ready for employer-led accountable care?29 March 2019 - By Simon Moody and Kimberley K. Hiemenz - Article

Employers are becoming increasingly involved in the movement toward value-based reimbursement, particularly employers that self-fund the healthcare needs of their employees.

Providers should do annual check-ups on Medicare Advantage risk-sharing contracts12 January 2017 - By Simon Moody and Kimberley K. Hiemenz - Article

It is imperative that providers review their Medicare Advantage shared-risk arrangements annually, particularly shared-risk arrangements set up to span multiple years.

Aligning payer-provider incentives to improve coding and ACA risk transfer payments22 December 2015 - By Jason Siegel and Kimberley K. Hiemenz and Simon Moody - Article

The impact of risk adjustment can be substantial, and health plans operating under the Patient Protection and Affordable Care Act (ACA) need a thoughtful and innovative plan for managing risk scores.

EIOPA report on calibration of the premium and reserve risk factors in the standard formula: A health NSLT perspective03 January 2012 - By William Coatesworth and Simon Moody and Joanne Buckle - Article
A summary covering the health NSLT aspects of the EIOPA report.The Road Ahead for Healthcare in England07 September 2011 - By Simon Moody - Article
How to manage the risk within a tighter budget?
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