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PubMed · 10177396

How should data be analyzed and reported in a risk-contracting environment?

J W Pearce·J Kaye
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Abstract

Integrated delivery systems (IDSs) that enter into risk contracts with payers need sophisticated data analysis and reporting capabilities to ensure proper payment and to manage utilization. An IDS can develop these capabilities by following a six-step process: It should develop an IDS data management structure, obtain all requisite data, review and refine the data, consolidate the data, create a relational database, and develop a reporting structure. The reporting structure should consist of a set of standard reports and the ability to generate additional targeted reports that facilitate analysis of specific aspects of utilization and financial performance.

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Capitation FeeCosts and Cost AnalysisData CollectionData Interpretation, StatisticalDatabase Management SystemsDelivery of Health Care, IntegratedInsurance Claim ReviewInsurance, Health, ReimbursementRisk ManagementSoftware DesignUnited StatesJournal Article

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J W Pearce, J Kaye. 1998. How should data be analyzed and reported in a risk-contracting environment?. https://pubmed.ncbi.nlm.nih.gov/10177396/

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