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Selected news releases for today's health care
executives
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Medical Loss Ratio requirements resulting from the Affordable Care Act place significant compliance and financial risk on health plans, and have significant strategic, operational and financial implications for all stakeholders. As a result, immediate action must be taken for stakeholders to properly respond and position for these regulations that take effect in 2011. Join us in this 80 minute webinar as three national experts provide detailed insight, actionable information and recommendations regarding the implications for stakeholders with MLR requirements: John Steele, Managing Director of Healthscape Advisors will discuss the near and long-term MLR implications that all plans should be aware of, and what strategic alternatives health plans have in responding to these requirements. John will also discuss why mitigating these risks and addressing MLR requirements will require involvement from all aspects of a health plan operations’ and what steps can be taken to transform MLR into an opportunity to build your organization’s competitive advantage. He will cover such areas as: ● What are industry best practices that are being performed in order to meet the MLR requirements ● The common pitfalls and risks facing health plans ● The key business implications MLR will have on each organization ● How health plans should utilize MLR to help form a long term business strategy John Phelan, PhD, Technology and Management Consultant with Milliman, Inc, will address managing and reporting operational costs under MLR rules. He will provide a detailed assessment process that permits stakeholders to make the most advantageous changes to operations and products in meeting regulatory requirements and in developing product development and marketing strategies. Prior to the MLR requirements, information at this level of granularity was simply not needed to manage operations or estimate costs in regulatory submissions. Therefore, such an assessment will likely be a new activity for most insurers that requires careful attention and likely administrative and financial reporting changes. He will cover such areas as: How to conduct a baseline audit following MLR guidelines ● Documenting costs under MLR ● Preparing for an audit ● Program initiatives that support compliance David M. Tuomala, Director, Financial Advisory and Actuarial
Services, Ingenix Consulting will discuss financial and actuarial
implications of MLR regulations. He will cover the strategic and
practical implications of various key elements of the recent MLR
regulations and discuss ways that health plans should prepare for and
react to the changes. David will cover specific topics including: Impact
of inclusions and exclusions for Quality Improvement (QI) expenses and
the exclusion of state and Federal taxes from the MLR calculation
● Health plan implications of
aggregation levels for rebate calculations
● Impact of credibility
adjustments and three-year averaging for rebate calculations
● Implications of HHS process
for state-based transitional MLR adjustments for individual plans
● Next steps for health plans
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Individual Registration Fee: $225. Audio Conference CD-ROM: $40 for attendees; $285 for non-attendees after the event. Corporate Site licensing also available. Click here to register or call 209.577.4888. We look forward to your participation in this event! |
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Strategic, Operational and Financial
Implications of MLR Requirements