SOA Blog

Keep up with Health Care Reform—Provider Payment Reform Seminar

There is substantive activity on payment and system reform across the health care landscape. This includes major initiatives like Accountable Care Organizations and Patient Centered Medical Homes, with over 250 federal programs and hundreds of private sector initiatives. These are supported by a combination of new and old payment approaches, from shared savings to episode based payment, that are moving the medical model from volume-based reimbursement to value-based rewards. Much of this work is happening now as payers and providers form alternative networks, create modified reporting systems, implement innovative payment contracts, and attempt to build and/or reshape long-term relationships between providers and payers. Decisions being made now will impact ongoing health care cost trends, product design for health insurance exchanges, relationships between physician and hospital costs, and other actuarial topics.

Given the immediate implications of this activity, the SOA Health Section Council and the Society of Actuaries have put together a new program—the Provider Payment Reform Seminar, covering these topics:

  • Overview of core elements of provider payment reform;
  • Outlines of the strongest existing practices across the county;
  • Technical training and case studies;
  • Outside provider speakers who have hands-on experience with reform;
  • Small group discussions of the organizational implications within carriers and working relationships with providers.


This seminar will be helpful for those who will be engaged in these initiatives this year, actuaries working for the provider community, and executives who need to understand the program implications. Register today!

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