Using actuarial models to assess managed care risk.

  • Bruce S. Pyenson
  • Published 1997 in
    Healthcare financial management : journal of the…


Actuarial models can be used to illustrate the financial risks inherent in healthcare provider operations. They are especially useful in analyzing the implications of managed care agreements, which revolve around risk and the financing of risk. Simple actuarial models may focus on inpatient utilization and reimbursement under capitation. More sophisticated… (More)


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