1 Use the tips of your first two fingers (not your thumb) to press lightly over the blood vessels on your wrist.  Count your pulse for 10 seconds and multiply by 6 to find your beats per minute. You want to stay between 50 percent to 85 percent of your maximum heart rate. This range is your target heart rate.
An Overview of Delivery System Reform Incentive Payment (DSRIP) Waivers. Prompted by an interest in improving the health of the population, enhancing the experience and outcome of the patient, and reducing the per capita cost of care, states are implementing innovative programs reforming how care is delivered and paid for.
1) Traditional fee-for-service payment arrangements incent high volume care while payment reform. can incent high value care and achieve cost savings. 2) Payment reform is a data-driven endeavor. 3) States can use the data they already collect as Medicaid payers (claims and encounter data) to. support payment reform. 4) States should assess the quality and accuracy of their data sets, including the relative degree. to which their data is generated by fee-for-service payment systems, which produce claims data, versus capitated payment systems, which produce encounter data. 5) Though data may be subject to time delays, inaccuracies, and incompleteness, states can miti-. gate these barriers to their effective use.