Managing and Evaluating Healthcare Intervention ProgramsSince its publication in 2008, Managing and Evaluating Healthcare Intervention Programs has become the premier textbook for actuaries and other healthcare professionals interested in the financial performance of healthcare interventions. The second edition updates the prior text with discussion of new programs and outcomes such as ACOs, Bundled Payments and Medication Management, together with new chapters that include Opportunity Analysis, Clinical Foundations, Measurement of Clinical Quality, and use of Propensity Matching. |
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Contents
Clinical Background | 15 |
Care Management Programs and Interventions | 45 |
5 | 105 |
The Use of the Value Chain in Care Management Program Planning | 119 |
Clinical Quality and its Measurement | 129 |
Understanding the Economics of Care Management Programs | 163 |
The Example of Opportunity Analysis | 183 |
Measuring Care Management Savings Outcomes | 197 |
Chronic and NonChronic Member Trends | 251 |
Random Fluctuations and Validity in Measuring | 269 |
1 Criteria used to Classify Members into Chronic Categories | 291 |
15 | 293 |
16 | 313 |
PART IV | 332 |
Selective Review of the Literature | 353 |
The Relationship Between Health Risk Factors | 371 |
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Common terms and phrases
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Bibliographic information
| Title | Managing and Evaluating Healthcare Intervention Programs Professional Series |
| Author | Ian Duncan, FSA, FIA, FCIA, MAAA |
| Publisher | ACTEX Publications, 2014 |
| ISBN | 1625421125, 9781625421128 |
| Length | 422 pages |
| Export Citation | BiBTeX EndNote RefMan |