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MAP20200028062Nelson, DaveOn target : pursuing the quadruple aim in health care / Dave Nelson, Keith PasswaterSumario: The quadruple aim in health care is a recent adaptation of an earlier concept: the triple aim. The triple aim was first described in 2008 and recognizes that improving the United States health care system requires simultaneous advancement in three dimensions: improving the experience of care, improving the health of populations, and reducing per capita costs of health care. More recently, provider well-being has been added to form the fourth point in what some commentators see as the now quadruple aim. This article is concerned with techniques and strategies aimed at the per capita cost dimension but not at the exclusion of the other dimensions. Our target audiences are actuaries, finance leaders, and administrators who work with employers, payers, Accountable Care Organizations (ACOs), health systems, and at-risk provider entities. These entities operate in multiple markets under a wide variety of financial circumstances; consequently, it is impossible to offer a cookbook that works in every circumstance. We have, however, tried to offer some general approaches that we believe work in a variety of such situationsEn: Contingencies : American Academy of Actuaries. - Washington : American Academy of Actuaries, 2019-2024. - 01/09/2020 September-October 2020 , p. 40-471. Atención sociosanitaria. 2. Sistemas sanitarios. 3. Salud pública. 4. Costes económicos. 5. Estados Unidos. I. Passwater, Keith. II. Título.