Calculated Risk: A Provider's Guide to Assessing and Controlling the Financial Risk of Managed Care (J-B AHA Press)

From specialization to fully integrated networks, Calculated Risk will help providers develop risk management strategies that concentrate on the provider's financial risk as it relates to payment for health care, including: controlling and allocating variable and fixed costs; managing how care is delivered and by whom; complying with health care financing regulations; and more.

BRUCE S. PYENSON, is a consulting actuary in Milliman & Robertson, Inc.'s New York City office. Mr. Pyenson has consulted to a wide variety of providers, medical suppliers, HMOs, and insurers on issues ranging from health care reform to capitation development. His time with M & R includes a year spent in the United Kingdom where he consulted to the growing private health care sector. MILLIMAN & ROBERTSON, INC. is an international firm of consultants and actuaries with offices in major cities throughout the United States. With almost 1,000 employees, M & R uses actuarial risk management expertise to provide strategic and tactical advice to a full range of financial and health care organizations, providers, governments, and employers. The firm has helped many HMOs, insurance companies, Blue Cross/Blue Shield Plans, and providers measure their financial status, appraise business opportunities, develop new products, and determine premium rates.