Purchasers of Health Care

•Describe and contrast different approaches to performance measurement.

•Discuss strengths and weaknesses of these approaches.

•Discuss the role of risk adjustment techniques in measure construction and how they are applied.

•Discuss different alternatives for attributing patients to providers for measurement purposes

 

•Discuss the nature of the contracting process from the health plan and provider perspectives.

•Describe how provider reimbursement levels are determined.

•Discuss issues pertaining to tiered provider networks

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