Payment & Reimbursement Forum Tools
An archive of Payment & Reimbursement Forum tools
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- Job Description: Manager of High-Cost Drugs (October 2018)
- Analysis of an ED Claim (May 2018)
- Progress Measures for IBD Specialty Medical Home (February 2018)
- A Formula to Determine the Impact of Anthem’s Imaging Policy (November 2017)
- Direct Employer Contracting Checklist (July 2016)
- Checklist: Commercial Utilization Review (November 2015)
Payment Models: Bundled Payment, Shared Savings, P4P, etc.
- Contracting Parameters for Maternity Bundle Pilots (January 2017)
- Checklist for Safety Net Provider Success Under Alternative Payment Models (April 2016)
- Checklist to Avoid a Negative Value-Based Modifier Adjustment (February 2016)
- Checklist for Common Mortality Risk Variables (August 2015)
- Checklist for Successful ACO Contracting (January 2016)
- Checklist for Reviewing Lesser-Than Provisions in Payer Contracts (July 2015)