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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.

Will Repeal and Replace of the ACA cause pent-up demand to occur?23 March 2017 - By Kimberley K. Hiemenz and Michelle Klein - Article

This paper analyzes the impact of insureds utilizing more elective services in 2017 out of fear of losing or having reduced coverage with the repeal of the Patient Protection and Affordable Care Act (ACA).

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.

The essential eight: Keys to successful ACO contracting15 October 2015 - By Kimberley K. Hiemenz - Article

This article discusses common elements critical to analyzing and understanding shared risk and population-based arrangements.

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