Nuts and Bolts of Payer-Provider Contracts

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The contents of a payer-provider contract determine reimbursement levels being paid by payers to providers. What are the primary variables included in these contracts that impact actuaries’ work, both volume-based and value-based? How does this vary for commercial insurance companies vs government programs? In this CCA healthcare series webinar, presenters discuss these questions and more.


CPD Credit: 1.50 EA Core Credit: 0.00 EA Ethics Credit: 0.00 EA Non-Core Credit: 0.00 EA Formal Credit: 0.00