Commercial health insurance: Detailed 2020 financial results and emerging 2021 trends
Milliman » Health Insight
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1y ago
- By Paul R. Houchens, Zach Hunt We review the financial results of the commercial health insurance industry in 2020, with a focus on healthcare market changes and emerging trends ..read more
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Is Build Back Better Back? Overview of New Schumer Drug Pricing Reform
Milliman » Health Insight
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1y ago
- By Michelle Klein, Kevin Pierce, Samantha D’Anna, Jake Klaisner We examine key provisions of Senator Schumer and the Senate Finance Committee’s new Prescription Drug Pricing Reform language, and compare with the Build Back Better Act’s previous version ..read more
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Innovation and long-term care insurance
Milliman » Health Insight
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1y ago
- By Robert Eaton As the need for long-term care insurance becomes more apparent, innovation and technology are driving development of new tools and products ..read more
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Dental coverage in Medicare Advantage plans: Nationwide market landscape, 2022 update
Milliman » Health Insight
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1y ago
- By Joanne E. Fontana, Connie Tang, Gabe Youngblood This article reviews dental benefits provided within MA general enrollment plans using Centers for Medicare and Medicaid Services data, including trends in enrollment, benefits offered, and purchasing habits of beneficiaries ..read more
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Analysis of insurers’ Solvency and Financial Condition Reports
Milliman » Health Insight
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1y ago
- By Joanne Buckle, Natasha Singhal UK health insurers had strong positions at year-end 2021, with a weighted average SCR coverage ratio of 177%, though down from 198% a year earlier ..read more
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Prevalence of rare disease in a commercial population using ICD-10 diagnosis codes
Milliman » Health Insight
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1y ago
- By Melanie K. Kuester, Jessica Naber, Conner Smith Regenerative and targeted therapies increase the need to accurately identify rare diseases, and increased specificity in diagnosis codes of the ICD-10 could help ..read more
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Enhancing Oncology Model (EOM): OCM “2.0”
Milliman » Health Insight
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1y ago
- By Harsha Mirchandani, Noah Champagne, Pamela M. Pelizzari This article highlights considerations for providers interested in voluntary enhanced oncology model, which builds on concepts of a recently completed CMMI model designed to transform oncology care while reducing spending under Medicare fee-for-service ..read more
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PBM Best Practices Series: What to expect from your PBM account team
Milliman » Health Insight
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1y ago
- By Greg O. Callahan Pharmacy benefit managers play a key role in helping plan sponsors manage prescription drug spend, and good account management can make all the difference ..read more
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Weathering the reform storm: The Inflation Reduction Act’s changes to Medicare and other healthcare markets
Milliman » Health Insight
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1y ago
- By Madeleine Cline, Jason Karcher, Jake Klaisner, Michelle Klein The Inflation Reduction Act will have countless implications for all industry stakeholders and will alter the Medicare landscape in 2023 and beyond ..read more
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