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Performance of skilled nursing facilities for the Medicare population09 December 2016 - By Anders Larson and Jill S. Herbold - Article

This report discusses a framework and metrics for measuring skilled nursing facility (SNF) performance, explores SNF performance levels across the United States, and provides a quantitative assessment of the opportunity to reduce spending for SNF services through steerage of patients to more cost-efficient SNFs.

2014 commercial health insurance: Overview of financial results21 March 2016 - By Colin R. Gray and Jason Clarkson and Jill S. Herbold and Paul R. Houchens - Article

The 2014 edition of our annual report on the commercial health insurance market provides an overview of financial results in the individual and group insurance markets as well as focuses on enrollment changes in the individual market and the impact of the Patient Protection and Affordable Care Act of 2010’s (ACA) risk adjustment and risk corridor programs.

Evaluating healthcare provider performance02 October 2015 - By Jill S. Herbold - Article

This paper explores considerations for selecting metrics to use when evaluating provider performance, adjustments to performance metrics that help address limitations in available data, and how provider performance metrics may be used to help improve financial and other results.

Challenges with measuring savings in shared savings arrangements11 March 2015 - By Anders Larson and Jill S. Herbold - Article

Shared savings arrangements have become a more popular way to incentivize providers to improve the efficiency and quality of healthcare.

Administrative expenses: 2010 commercial health insurance10 February 2012 - By Jill S. Herbold - Article

This report examines administrative expense categories for the large group, small group, and individual insured markets as reported in the Supplemental Health Care Exhibit.

Medical loss ratios and illustrative rebates: 2010 commercial health insurance10 February 2012 - By Jill S. Herbold - Article

This report examines 2010 preliminary medical loss ratios of health insurance issuers and presents illustrative rebate estimates.


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