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Google Keyword Rankings for : commercial premium revenue pmpm
1
Member Month Defined - Investopedia
https://www.investopedia.com/terms/m/member-month.asp
Member Months and PMPM. Member months can also be used to calculate the average monthly premiums. This is done by dividing the revenue generated by a group ...
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https://www.investopedia.com/terms/m/member-month.asp
Member Months and PMPM. Member months can also be used to calculate the average monthly premiums. This is done by dividing the revenue generated by a group ...
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2
Calculating Per-member Per-month Rate | Free Essay Example
https://studycorgi.com/calculating-per-member-per-month-rate/
PMPM metric applies to revenue or cost for each enrolled member each month. It is calculated by dividing the units of service or product by ...
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https://studycorgi.com/calculating-per-member-per-month-rate/
PMPM metric applies to revenue or cost for each enrolled member each month. It is calculated by dividing the units of service or product by ...
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3
CT Commercial Cost Trends - CT.gov
https://portal.ct.gov/-/media/OHS/Cost-Growth-Benchmark/CGB-TT-Information/CGB--TT-Meetings-2021/February-22-2021/Mathematica-Cost-Drivers-Analysis---Technical-Team-2021-2-22.pdf
Notes: OOP PMPM is calculated as sum(copays + deductibles + coinsurance)/sum(member months). Percent change in “PMPM” columns is calculated as ...
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https://portal.ct.gov/-/media/OHS/Cost-Growth-Benchmark/CGB-TT-Information/CGB--TT-Meetings-2021/February-22-2021/Mathematica-Cost-Drivers-Analysis---Technical-Team-2021-2-22.pdf
Notes: OOP PMPM is calculated as sum(copays + deductibles + coinsurance)/sum(member months). Percent change in “PMPM” columns is calculated as ...
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4
How To Calculate PMPM
https://pocketsense.com/how-to-calculate-pmpm-12205153.html
How to Calculate PMPM for Group Health Insurance. Most insurers require employers to cover at least 50 percent of the premium cost for covered employees.
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https://pocketsense.com/how-to-calculate-pmpm-12205153.html
How to Calculate PMPM for Group Health Insurance. Most insurers require employers to cover at least 50 percent of the premium cost for covered employees.
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5
An Analysis of Profitability for the Individual and Small Group ...
https://www.markfarrah.com/mfa-briefs/an-analysis-of-profitability-for-the-individual-and-small-group-health-insurance-markets-in-2021/
Premiums increased 1.6%, to a segment average of $526.8 premiums PMPM (per member per month**). However, medical claims jumped 19.5% on a ...
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https://www.markfarrah.com/mfa-briefs/an-analysis-of-profitability-for-the-individual-and-small-group-health-insurance-markets-in-2021/
Premiums increased 1.6%, to a segment average of $526.8 premiums PMPM (per member per month**). However, medical claims jumped 19.5% on a ...
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6
U.S. Health Insurance Industry Analysis Report - NAIC
https://content.naic.org/sites/default/files/inline-files/2020-Annual-Health-Insurance-Industry-Analysis-Report.pdf
Net Premium PMPM ... Enrollment and Premium Revenues . ... Medicare, a 4.8% (2.1 million) increase in the Medicaid line of business, and a 3.1% (1.1 ...
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https://content.naic.org/sites/default/files/inline-files/2020-Annual-Health-Insurance-Industry-Analysis-Report.pdf
Net Premium PMPM ... Enrollment and Premium Revenues . ... Medicare, a 4.8% (2.1 million) increase in the Medicaid line of business, and a 3.1% (1.1 ...
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7
Financial Summary of Medi-Cal Managed Care Plans
https://www.dmhc.ca.gov/Portals/0/Docs/DO/FSSB%20Nov2020/AgendaItem10_FinancialSummaryofMediCalManagedCarePlansReportNov2020.pdf?ver=2020-11-17-145734-307
Capitation based models often include fixed per member per month payment or percentage of premium payment. Under this arrangement, the provider assumes the ...
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https://www.dmhc.ca.gov/Portals/0/Docs/DO/FSSB%20Nov2020/AgendaItem10_FinancialSummaryofMediCalManagedCarePlansReportNov2020.pdf?ver=2020-11-17-145734-307
Capitation based models often include fixed per member per month payment or percentage of premium payment. Under this arrangement, the provider assumes the ...
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8
Medicare Advantage, Direct Contracting, And ... - Health Affairs
https://www.healthaffairs.org/do/10.1377/forefront.20210927.6239/
The Perverse Marketplace And Business Model Of Medicare Advantage ... roughly $11 PMPM for profit and $14 to improve premiums and benefits.
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https://www.healthaffairs.org/do/10.1377/forefront.20210927.6239/
The Perverse Marketplace And Business Model Of Medicare Advantage ... roughly $11 PMPM for profit and $14 to improve premiums and benefits.
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9
Financial Performance of Medicare Advantage, Individual, and ...
https://www.kff.org/report-section/financial-performance-of-medicare-advantage-individual-and-group-health-insurance-markets-issue-brief/
One way to assess insurer financial performance is to examine gross margins per member per month, or the amount by which premium income exceeds ...
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https://www.kff.org/report-section/financial-performance-of-medicare-advantage-individual-and-group-health-insurance-markets-issue-brief/
One way to assess insurer financial performance is to examine gross margins per member per month, or the amount by which premium income exceeds ...
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10
Per Member Per Month (PMPM) Financial Benchmarking Report
https://www.npaonline.org/sites/default/files/H4402_Alexian%20Brothers%20Chattanooga_PMPM%20Benchmarking%20Report%202015_151-300.pdf
To calculate the PMPM for a revenue or expense item, ... is the ratio of the value of medical services provided to the amount of the premiums.
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https://www.npaonline.org/sites/default/files/H4402_Alexian%20Brothers%20Chattanooga_PMPM%20Benchmarking%20Report%202015_151-300.pdf
To calculate the PMPM for a revenue or expense item, ... is the ratio of the value of medical services provided to the amount of the premiums.
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11
2021 Health Insurance Market Report
https://insurance.utah.gov/wp-content/uploads/2021HealthMarketReport.pdf
Each commercial insurer reported direct premium and losses in Utah, as well as total revenue and net income for their company. Table 2 ...
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https://insurance.utah.gov/wp-content/uploads/2021HealthMarketReport.pdf
Each commercial insurer reported direct premium and losses in Utah, as well as total revenue and net income for their company. Table 2 ...
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12
Medical Loss Ratio Tip Sheet
https://acl.gov/sites/default/files/programs/2017-03/Medical_Loss_Ratio_Tip_Sheet_Final.pdf
of premium revenues spent on clinical services and quality improvement programs, also known as ... For Commercial Plans (began on January 1, 2011).
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https://acl.gov/sites/default/files/programs/2017-03/Medical_Loss_Ratio_Tip_Sheet_Final.pdf
of premium revenues spent on clinical services and quality improvement programs, also known as ... For Commercial Plans (began on January 1, 2011).
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13
Presentation to the Health Policy Commission: CHIA's Annual ...
https://www.mass.gov/doc/presentation-chiahpc/download
COMMERCIAL SPENDING PMPM SLOWED ACROSS THE FOUR MAJOR SERVICE CATEGORIES IN ... Panel Survey (commercial premiums 2013-2017); Internal Revenue Service (for.
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https://www.mass.gov/doc/presentation-chiahpc/download
COMMERCIAL SPENDING PMPM SLOWED ACROSS THE FOUR MAJOR SERVICE CATEGORIES IN ... Panel Survey (commercial premiums 2013-2017); Internal Revenue Service (for.
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14
Administrative Claims-Based Measures Per Member Per ...
https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/research/dqa/dental-quality-measures/2022-measures/2022_pmpm_cost_of_clinical_services.pdf?rev=fb10b5fcede04bd9bf7f2d7f73c51ad9&hash=974190CC423A53099DA73A328A0821A7
Per Member Per Month Cost of Clinical Services, Dental Services ... Socioeconomic Status (e.g., premium or income category). PMPM Cost (Dental Services) ...
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https://www.ada.org/-/media/project/ada-organization/ada/ada-org/files/resources/research/dqa/dental-quality-measures/2022-measures/2022_pmpm_cost_of_clinical_services.pdf?rev=fb10b5fcede04bd9bf7f2d7f73c51ad9&hash=974190CC423A53099DA73A328A0821A7
Per Member Per Month Cost of Clinical Services, Dental Services ... Socioeconomic Status (e.g., premium or income category). PMPM Cost (Dental Services) ...
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15
Commercial health insurance: Detailed 2017 financial results ...
https://assets.milliman.com/ektron/commercial-health-insurance-financial-results.pdf
significant decrease was attributable to premium revenue growth being much greater than claims expenses. Additionally,.
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https://assets.milliman.com/ektron/commercial-health-insurance-financial-results.pdf
significant decrease was attributable to premium revenue growth being much greater than claims expenses. Additionally,.
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16
Changes in Per Member Per Month Expenditures after ... - NCBI
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3097402/
PMPM expenditures for SSI enrollees increased by an additional U.S.$0.35 in ... finances the health and medical care of low-income families, some elders, ...
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3097402/
PMPM expenditures for SSI enrollees increased by an additional U.S.$0.35 in ... finances the health and medical care of low-income families, some elders, ...
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17
How much employer health insurance costs - HealthPartners
https://www.healthpartners.com/plan/blog/unpacking-employer-health-insurance-costs/
Looking at these health plan costs on a per member per month (PMPM) basis, ... for employees, aim to keep their premiums under 10% of their income.
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https://www.healthpartners.com/plan/blog/unpacking-employer-health-insurance-costs/
Looking at these health plan costs on a per member per month (PMPM) basis, ... for employees, aim to keep their premiums under 10% of their income.
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18
ANNUAL REPORT 2021
https://investors.molinahealthcare.com/static-files/831b027e-d707-4631-a0a3-1904056cb9e9
higher average PMPM revenues and healthcare costs. For the year ended December 31, 2021, Medicare program PMPM premium revenues.
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https://investors.molinahealthcare.com/static-files/831b027e-d707-4631-a0a3-1904056cb9e9
higher average PMPM revenues and healthcare costs. For the year ended December 31, 2021, Medicare program PMPM premium revenues.
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19
Accountable Care Financial Arrangements: Options and ...
https://hcttf.org/wp-content/uploads/2018/01/HCTTF_ACOFinancialArrangementsWhitePaper.pdf
near-term shared savings or net capitation revenues, or from long-term efficiencies ... negotiated as a percent of premium or budgeted PMPM, the budgets are ...
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https://hcttf.org/wp-content/uploads/2018/01/HCTTF_ACOFinancialArrangementsWhitePaper.pdf
near-term shared savings or net capitation revenues, or from long-term efficiencies ... negotiated as a percent of premium or budgeted PMPM, the budgets are ...
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20
Performance of the Massachusetts Health Care System
https://www.chiamass.gov/assets/2022-annual-report/2022-Annual-Report-Coverage-Technical-Appendix.pdf
Private Commercial Premiums and Member Cost-Sharing . ... on how payers used the premium revenue that they collected from their commercial fully-insured.
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https://www.chiamass.gov/assets/2022-annual-report/2022-Annual-Report-Coverage-Technical-Appendix.pdf
Private Commercial Premiums and Member Cost-Sharing . ... on how payers used the premium revenue that they collected from their commercial fully-insured.
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21
Health Care Providers and Value-Based Reimbursement
https://www.healthmanagement.com/wp-content/uploads/Health-Care-Providers-and-Value-Based-Reimbursement.pdf
States and CMS pay managed care organizations (MCOs) per-member-per-month (pmpm) ... medical costs or enhance premium revenue for the MCO in cases where ...
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https://www.healthmanagement.com/wp-content/uploads/Health-Care-Providers-and-Value-Based-Reimbursement.pdf
States and CMS pay managed care organizations (MCOs) per-member-per-month (pmpm) ... medical costs or enhance premium revenue for the MCO in cases where ...
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22
Plan Management Navigator - Sherlock Company
https://sherlockco.com/docs/navigator/Oct2018/Medicaid%20Navigator%202018.pdf
Miscellaneous Business Taxes; PMPM total administrative expenses declined by 3.5% if ... Costs of Medicaid-focused plans, Percent of Premiums by Product.
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https://sherlockco.com/docs/navigator/Oct2018/Medicaid%20Navigator%202018.pdf
Miscellaneous Business Taxes; PMPM total administrative expenses declined by 3.5% if ... Costs of Medicaid-focused plans, Percent of Premiums by Product.
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23
A Comparison of For-Profit and Not-for-Profit Health Plans
https://journals.sagepub.com/doi/pdf/10.5034/inquiryjrnl_41.2.116
In 2002, the upstate market had the lowest operating revenues (premiums) statewide, averaging $184 per member per month (pmpm); the not-for-profit plans.
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https://journals.sagepub.com/doi/pdf/10.5034/inquiryjrnl_41.2.116
In 2002, the upstate market had the lowest operating revenues (premiums) statewide, averaging $184 per member per month (pmpm); the not-for-profit plans.
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24
2022 Commercial Health Insurance Rate Review
https://ohic.ri.gov/sites/g/files/xkgbur736/files/documents/2021/September/2022-Commercial-Health-Insurance-Rate-Review---Actuarial-Memoranda.pdf
Commissioner review of 2022 commercial health insurance premiums in the individual market, small group market, and large group market.
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https://ohic.ri.gov/sites/g/files/xkgbur736/files/documents/2021/September/2022-Commercial-Health-Insurance-Rate-Review---Actuarial-Memoranda.pdf
Commissioner review of 2022 commercial health insurance premiums in the individual market, small group market, and large group market.
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25
analysis of the basic health program option hawai'i ...
http://files.hawaii.gov/dcca/ins/reports/Appendix_A-Basic_Health_Final.pdf
incomes, commercial premiums that grow at a rate faster than ... a low of $250 to a high of $300 PMPM) the BHP subsidies will be lower than ...
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http://files.hawaii.gov/dcca/ins/reports/Appendix_A-Basic_Health_Final.pdf
incomes, commercial premiums that grow at a rate faster than ... a low of $250 to a high of $300 PMPM) the BHP subsidies will be lower than ...
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26
Cigna Corp. (CI) - Credit Suisse | PLUS
https://plus.credit-suisse.com/u/v9qaMR
Conversely, full risk premium PMPM is $300-$400 and runs ... revenues are impacted significantly in this business by $2.5 billion annually.".
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https://plus.credit-suisse.com/u/v9qaMR
Conversely, full risk premium PMPM is $300-$400 and runs ... revenues are impacted significantly in this business by $2.5 billion annually.".
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27
maine-section-1332 waiver-complete-application-02-10-2022 ...
https://www.maine.gov/pfr/insurance/sites/maine.gov.pfr.insurance/files/inline-files/maine-section-1332%20waiver-complete-application-02-10-2022.pdf
insured commercial health insurance markets that the MGARA reinsurance ... revenue generated by the $4.00 PMPM state assessment that applies ...
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https://www.maine.gov/pfr/insurance/sites/maine.gov.pfr.insurance/files/inline-files/maine-section-1332%20waiver-complete-application-02-10-2022.pdf
insured commercial health insurance markets that the MGARA reinsurance ... revenue generated by the $4.00 PMPM state assessment that applies ...
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28
The Prices That Commercial Health Insurers and Medicare ...
https://www.cbo.gov/system/files/2022-01/57422-medical-prices.pdf
in the prices that commercial insurers pay for hospitals' and physicians' ... insurance to deduct up to 100 percent of their premiums from their income.
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https://www.cbo.gov/system/files/2022-01/57422-medical-prices.pdf
in the prices that commercial insurers pay for hospitals' and physicians' ... insurance to deduct up to 100 percent of their premiums from their income.
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29
An Advocate's Guide to HEALTH INSURANCE RATE HIKES
https://advocacy.consumerreports.org/wp-content/uploads/2014/04/Advocacy-Toolkit-FINAL.pdf
cause the average premium per member per month to change, then this will impact the premium revenue forecast. This can happen, for example, ...
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https://advocacy.consumerreports.org/wp-content/uploads/2014/04/Advocacy-Toolkit-FINAL.pdf
cause the average premium per member per month to change, then this will impact the premium revenue forecast. This can happen, for example, ...
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30
Value to the federal government of Medicare Advantage
https://bettermedicarealliance.org/wp-content/uploads/2021/10/3400HDP_Value-to-the-federal-government-of-Medicare-Advantage.pdf
MEDICARE ADVANTAGE GOVERNMENT PAYMENTS (2021), $ PMPM ... Higher-income beneficiaries may pay higher premiums.
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https://bettermedicarealliance.org/wp-content/uploads/2021/10/3400HDP_Value-to-the-federal-government-of-Medicare-Advantage.pdf
MEDICARE ADVANTAGE GOVERNMENT PAYMENTS (2021), $ PMPM ... Higher-income beneficiaries may pay higher premiums.
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31
Health Insurance Exchanges: Claims Cost and Federal and ...
https://www.gao.gov/assets/gao-19-215.pdf
Table 4: Percent Change in Per Member Per Month Premium ... required to be licensed to engage in the business of insurance in a state.
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https://www.gao.gov/assets/gao-19-215.pdf
Table 4: Percent Change in Per Member Per Month Premium ... required to be licensed to engage in the business of insurance in a state.
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32
HBP Actuarial Memorandum for Small Group and Individual
https://dfr.oregon.gov/rates-forms/Documents/4872-templates.xls
33, Premium development, Total, PMPM, % of Revenue ... 17, Data reflects the carrier's statewide, commercial, fully funded, major medical insurance.
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https://dfr.oregon.gov/rates-forms/Documents/4872-templates.xls
33, Premium development, Total, PMPM, % of Revenue ... 17, Data reflects the carrier's statewide, commercial, fully funded, major medical insurance.
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33
The State of New Hampshire Insurance Department
https://www.nh.gov/insurance/consumers/documents/1sthirr.pdf
the extent to which premium rates in the commercial insurance sector may be ... Aggregate Actual Premium Revenue by Market Segment, PMPM.
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https://www.nh.gov/insurance/consumers/documents/1sthirr.pdf
the extent to which premium rates in the commercial insurance sector may be ... Aggregate Actual Premium Revenue by Market Segment, PMPM.
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34
instructions for completing the medicare advantage bid pricing ...
https://www.cms.gov/files/document/draft-instructions-completing-medicare-advantage-bid-pricing-tools-cy2023.pdf
Plan Intention for Target Part D Basic Premium . ... MA Worksheet 4 – MA Projected Revenue Requirement PMPM .
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https://www.cms.gov/files/document/draft-instructions-completing-medicare-advantage-bid-pricing-tools-cy2023.pdf
Plan Intention for Target Part D Basic Premium . ... MA Worksheet 4 – MA Projected Revenue Requirement PMPM .
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35
Table of Contents - Missouri Department of Insurance
https://insurance.mo.gov/Contribute%20Documents/HMOAnnualReport.pdf
revenues) from 1999 to 2003;. • Missouri market shares by HMO and by holding company; and. • Commercial premiums per member per month (PMPM).
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https://insurance.mo.gov/Contribute%20Documents/HMOAnnualReport.pdf
revenues) from 1999 to 2003;. • Missouri market shares by HMO and by holding company; and. • Commercial premiums per member per month (PMPM).
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36
Maryland Hospitals Deliver Savings for Commercial Health ...
https://mhaonline.org/docs/default-source/publications/mha-insight/mha-insight-maryland-hospitals-deliver-savings-for-commercial-health-insurers.pdf
Commercial insurers in Maryland enjoy steadily improving ... total hospital revenue as set by the Health Services Cost ... OUTPATIenT COSTS PMPM*.
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https://mhaonline.org/docs/default-source/publications/mha-insight/mha-insight-maryland-hospitals-deliver-savings-for-commercial-health-insurers.pdf
Commercial insurers in Maryland enjoy steadily improving ... total hospital revenue as set by the Health Services Cost ... OUTPATIenT COSTS PMPM*.
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37
Health Insurance Providers Respond to Coronavirus (COVID ...
https://www.ahip.org/news/articles/health-insurance-providers-respond-to-coronavirus-covid-19
Continuing to encourage all members of Commercial, Medicare and Medicaid plans ... a global, not-for-profit organization that specializes in mental health ...
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https://www.ahip.org/news/articles/health-insurance-providers-respond-to-coronavirus-covid-19
Continuing to encourage all members of Commercial, Medicare and Medicaid plans ... a global, not-for-profit organization that specializes in mental health ...
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38
TEXAS DEPARTMENT OF INSURANCE
https://www.tdi.texas.gov/reports/fin/documents/s1221q.pdf
Income Statement Data. 4. Ending Enrollment. 14. Cumulative Member Months. 15. Per Member Per Month (PMPM) ... ACTUAL PMPM '21 YTD. Commercial Premium.
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https://www.tdi.texas.gov/reports/fin/documents/s1221q.pdf
Income Statement Data. 4. Ending Enrollment. 14. Cumulative Member Months. 15. Per Member Per Month (PMPM) ... ACTUAL PMPM '21 YTD. Commercial Premium.
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39
EX-99.6 - SEC.gov
https://www.sec.gov/Archives/edgar/data/1801170/000119312521102870/d136994dex996.htm
While our total premium revenue has increased year over year, we experience ... As a result, we typically see higher levels of PMPM medical expenses in the ...
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https://www.sec.gov/Archives/edgar/data/1801170/000119312521102870/d136994dex996.htm
While our total premium revenue has increased year over year, we experience ... As a result, we typically see higher levels of PMPM medical expenses in the ...
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40
Colorado Uninsurable Health Insurance Plan Review of the ...
https://leg.colorado.gov/sites/default/files/documents/audits/1289_cuhip_report_fin_fy01.pdf
commercial premium rate comparisons for the purpose of setting the CUHIP ... Members Premium. PMPM. Funds. On Fund. Revenue. Claims. PMPM.
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https://leg.colorado.gov/sites/default/files/documents/audits/1289_cuhip_report_fin_fy01.pdf
commercial premium rate comparisons for the purpose of setting the CUHIP ... Members Premium. PMPM. Funds. On Fund. Revenue. Claims. PMPM.
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41
Individual Nongrandfathered Health Plan (Pool) Rate Filing ...
https://www.insurance.wa.gov/media/8999
Calculation of the incurred claims PMPM by benefit category. ... commissions, commercial reinsurance premium and an offset for anticipated investment income ...
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https://www.insurance.wa.gov/media/8999
Calculation of the incurred claims PMPM by benefit category. ... commissions, commercial reinsurance premium and an offset for anticipated investment income ...
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42
CA - Milken Institute School of Public Health
https://publichealth.gwu.edu/departments/healthpolicy/CHPR/nnhs4/GSA/Subheads/gsa226.html
2. audited financial reports per MCO Medicaid line of business. ... Monthly premiums charged by category… ... Commercial Premium Revenue PMPM: .
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https://publichealth.gwu.edu/departments/healthpolicy/CHPR/nnhs4/GSA/Subheads/gsa226.html
2. audited financial reports per MCO Medicaid line of business. ... Monthly premiums charged by category… ... Commercial Premium Revenue PMPM: .
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43
Delaware Health Care Spending and Quality Benchmarks
https://dhss.delaware.gov/dhss/files/benchmarkmanualv4_091322.pdf
Breast Cancer Screening (commercial and Medicaid markets) ... This data element is akin to premium revenues insurers.
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https://dhss.delaware.gov/dhss/files/benchmarkmanualv4_091322.pdf
Breast Cancer Screening (commercial and Medicaid markets) ... This data element is akin to premium revenues insurers.
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44
Analysis of Indiana Insurance Data: Indiana's Medical Costs ...
https://www.ihaconnect.org/member/newsroom/PublishingImages/Pages/Jan262022/Analysis%20of%20Indiana%20Insurance%20Data%20Jan%202022%20By%20Nathan%20Kaufman%20Final.pdf
insurance companies raised their premiums by $128 PMPM. ... the profitability of commercial insurance plans. In response, several of the ...
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https://www.ihaconnect.org/member/newsroom/PublishingImages/Pages/Jan262022/Analysis%20of%20Indiana%20Insurance%20Data%20Jan%202022%20By%20Nathan%20Kaufman%20Final.pdf
insurance companies raised their premiums by $128 PMPM. ... the profitability of commercial insurance plans. In response, several of the ...
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45
SCHEDULE J1 Consolidated Statewide Revenues and Expen
https://www.health.ny.gov/health_care/managed_care/mco/schj.pdf
Child Health. Total. Commercial. Plus. Medicaid. Medicare. Totals. PMPM. 1 . Members. 1a . Member Months. REVENUES. 2 . Premium Revenue. 3 . Interest.
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https://www.health.ny.gov/health_care/managed_care/mco/schj.pdf
Child Health. Total. Commercial. Plus. Medicaid. Medicare. Totals. PMPM. 1 . Members. 1a . Member Months. REVENUES. 2 . Premium Revenue. 3 . Interest.
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46
Review of the Administrative Costs Component of the ...
https://oig.hhs.gov/oas/reports/region3/30100002.pdf
percentage of premium revenues and not actual costs. Under Medicare cost ... range of per member per month administrative costs.
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https://oig.hhs.gov/oas/reports/region3/30100002.pdf
percentage of premium revenues and not actual costs. Under Medicare cost ... range of per member per month administrative costs.
→ Check Latest Keyword Rankings ←
47
Humana Reports Second Quarter 2022 Financial Results
https://humana.gcs-web.com/static-files/931a87a7-235f-45bd-8595-bb7c79a15c54
Humana proactively develops succession plans for key business leaders, ... of expense to fully-insured premiums and services revenues,.
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https://humana.gcs-web.com/static-files/931a87a7-235f-45bd-8595-bb7c79a15c54
Humana proactively develops succession plans for key business leaders, ... of expense to fully-insured premiums and services revenues,.
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48
Addressing Payer Costs through a Comprehensive Model
https://www.optum.com/content/dam/optum3/optum/en/resources/white-papers/Viewpoint%2020-20Total%2020Cost%2020%20of%2020%20Ownership%2020-20%20November%20202016%2020-%2020vF%2020-%20201%2020million.pdf
Baseline PMPM servicing cost addressable through outsourcing ... decisions impacting about US$340 billion of premium revenue by 2020.
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https://www.optum.com/content/dam/optum3/optum/en/resources/white-papers/Viewpoint%2020-20Total%2020Cost%2020%20of%2020%20Ownership%2020-20%20November%20202016%2020-%2020vF%2020-%20201%2020million.pdf
Baseline PMPM servicing cost addressable through outsourcing ... decisions impacting about US$340 billion of premium revenue by 2020.
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49
T1 ACO Revenues by Payer
https://gmcboard.vermont.gov/sites/gmcb/files/files/payment-reform/Section%204%20C.%20Complete%20OneCare%20Projected%20Cost%20and%20Revenue%20Data%20Package.xlsx
5, Template #1: Revenue by payer, payer line of business ... (e.g. global budgets or full/percent of premium payments), Category 4c: Integrated Finance ...
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https://gmcboard.vermont.gov/sites/gmcb/files/files/payment-reform/Section%204%20C.%20Complete%20OneCare%20Projected%20Cost%20and%20Revenue%20Data%20Package.xlsx
5, Template #1: Revenue by payer, payer line of business ... (e.g. global budgets or full/percent of premium payments), Category 4c: Integrated Finance ...
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50
Rates Table Template - Pennsylvania Insurance Department
https://www.insurance.pa.gov/Consumers/Documents/CABC-133267272%20Initial%20Public.pdf
Profit: 85.99%. 11.39%. 0.62%. 2.00%. Premiums. $2,809,671 ... The experience period index rate is KHPC's allowed claims PMPM, ...
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https://www.insurance.pa.gov/Consumers/Documents/CABC-133267272%20Initial%20Public.pdf
Profit: 85.99%. 11.39%. 0.62%. 2.00%. Premiums. $2,809,671 ... The experience period index rate is KHPC's allowed claims PMPM, ...
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51
Minimum Dental Loss Ratios
https://www.nadp.org/docs/default-source/default-document-library/massachusetts-dlr-report-final.pdf
to meet the DLR threshold while retaining enough revenue to administer the business. Increasing premiums in order to comply could be ...
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https://www.nadp.org/docs/default-source/default-document-library/massachusetts-dlr-report-final.pdf
to meet the DLR threshold while retaining enough revenue to administer the business. Increasing premiums in order to comply could be ...
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52
The Medicare Advantage program: Status report | MedPAC
https://www.medpac.gov/wp-content/uploads/2021/10/mar21_medpac_report_ch12_sec.pdf
and profit) to lower cost sharing, lower premiums, or supplemental benefits. In 2021, the share of ... margins for nonprofit plans whose overall MA business.
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https://www.medpac.gov/wp-content/uploads/2021/10/mar21_medpac_report_ch12_sec.pdf
and profit) to lower cost sharing, lower premiums, or supplemental benefits. In 2021, the share of ... margins for nonprofit plans whose overall MA business.
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53
Financial Impacts of COVID-19 on Health Insurers - BDO USA
https://www.bdo.com/insights/industries/insurance/financial-impacts-of-covid-19-on-health-insurers
3. Uncertainty around premium collectability. Early predictions of the revenue impact of COVID-19 on health insurers were that individuals and employers might ...
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https://www.bdo.com/insights/industries/insurance/financial-impacts-of-covid-19-on-health-insurers
3. Uncertainty around premium collectability. Early predictions of the revenue impact of COVID-19 on health insurers were that individuals and employers might ...
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54
Two Sides to the APM Coin: Why APMs Work for Some and ...
https://www.hfma.org/topics/article/57115.html
Under ideal performance, about 85 percent of an insurance premium ... the insurer's profit more than doubles from $20 PMPM to $45 PMPM.
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https://www.hfma.org/topics/article/57115.html
Under ideal performance, about 85 percent of an insurance premium ... the insurer's profit more than doubles from $20 PMPM to $45 PMPM.
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55
Medical Loss Ratio Filing Instructions for Medicare Advantage ...
https://www.reginfo.gov/public/do/DownloadDocument?objectID=82444001
Commercial reinsurance premiums and recoveries are excluded from the MLR calculation. Both costs and revenues must be reported on a direct basis (i.e., ...
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https://www.reginfo.gov/public/do/DownloadDocument?objectID=82444001
Commercial reinsurance premiums and recoveries are excluded from the MLR calculation. Both costs and revenues must be reported on a direct basis (i.e., ...
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56
Enrollment in the Insurance Market
http://archives.lib.state.ma.us/bitstream/handle/2452/265972/ocn898221156-2015-TechnicalAppendix-EnrollmentPremiumsPayerUseOfFunds.pdf?sequence=3&isAllowed=y
CHIA received contract-membership, commercial premiums, consumer cost ... divided by annual member months to arrive at premiums per member per month (PMPM).
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http://archives.lib.state.ma.us/bitstream/handle/2452/265972/ocn898221156-2015-TechnicalAppendix-EnrollmentPremiumsPayerUseOfFunds.pdf?sequence=3&isAllowed=y
CHIA received contract-membership, commercial premiums, consumer cost ... divided by annual member months to arrive at premiums per member per month (PMPM).
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57
MIA Rate Review Enhancement - FINAL
https://insurance.maryland.gov/Consumer/documents/healthratereviewdocs6-11/owymanratereviewfinal.pdf
insurance premiums to protect consumers from rate increases that ... profit health service plans, and HMOs (both for-profit and non-profit).
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https://insurance.maryland.gov/Consumer/documents/healthratereviewdocs6-11/owymanratereviewfinal.pdf
insurance premiums to protect consumers from rate increases that ... profit health service plans, and HMOs (both for-profit and non-profit).
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58
Medicare Advantage Is Marching Toward 70% Penetration
https://www.lek.com/sites/default/files/insights/pdf-attachments/1969_Medicare_AdvantageLEK_Executive_Insights_1.pdf
Note: *Plan premium in addition to the Medicare Part B premium. Source: Medicare Plan Finder, ... per-month (PMPM) revenue of $800-$1,200 and operating.
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https://www.lek.com/sites/default/files/insights/pdf-attachments/1969_Medicare_AdvantageLEK_Executive_Insights_1.pdf
Note: *Plan premium in addition to the Medicare Part B premium. Source: Medicare Plan Finder, ... per-month (PMPM) revenue of $800-$1,200 and operating.
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59
blue-shield-irs-complaint.pdf - California Healthline
https://californiahealthline.org/wp-content/uploads/sites/3/2018/04/blue-shield-irs-complaint.pdf
PMPM charges makes it impossible to tell exactly how much premium revenue was shifted. The ... in premiums on three lines: Commercial premiums, Medicare, ...
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https://californiahealthline.org/wp-content/uploads/sites/3/2018/04/blue-shield-irs-complaint.pdf
PMPM charges makes it impossible to tell exactly how much premium revenue was shifted. The ... in premiums on three lines: Commercial premiums, Medicare, ...
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60
Financial Reporting Guide Dental Benefit Plan Manager
https://ldh.la.gov/assets/docs/BayouHealth/Dental/Financial/Dental_Financial_Reporting_Guide_Instructions_Updated_6-17-20.pdf
reimbursement and coordination of benefits (e.g. other commercial ... If the DBPM's LA-specific Medicaid/CHIP premium revenue is not ...
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https://ldh.la.gov/assets/docs/BayouHealth/Dental/Financial/Dental_Financial_Reporting_Guide_Instructions_Updated_6-17-20.pdf
reimbursement and coordination of benefits (e.g. other commercial ... If the DBPM's LA-specific Medicaid/CHIP premium revenue is not ...
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61
Chartbook Section 7 - Minnesota Department of Health
https://www.health.state.mn.us/data/economics/chartbook/docs/section7.pdf
Data is based on the fully insured private (commercial) market. ... million in annual premium revenue, as well as non-profit health plan companies.
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https://www.health.state.mn.us/data/economics/chartbook/docs/section7.pdf
Data is based on the fully insured private (commercial) market. ... million in annual premium revenue, as well as non-profit health plan companies.
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62
Study of Capital Reserve Limits in Minnesota
https://www.lrl.mn.gov/docs/2014/mandated/140339.pdf
As commercial product lines have, for most HMOs, been transitioning to their for ... The net underwriting gain – earned premium revenue less expenses – from ...
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https://www.lrl.mn.gov/docs/2014/mandated/140339.pdf
As commercial product lines have, for most HMOs, been transitioning to their for ... The net underwriting gain – earned premium revenue less expenses – from ...
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63
Commercial Health Care Cost and Utilization Trends From ...
https://healthcostinstitute.org/images/pdfs/2019-commerical-health-care-cost-utilization-trends-report.pdf
The presence of a revenue code, with respect to blank bill types, would ... The authors calculated the statistics PMPM and utilization per ...
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https://healthcostinstitute.org/images/pdfs/2019-commerical-health-care-cost-utilization-trends-report.pdf
The presence of a revenue code, with respect to blank bill types, would ... The authors calculated the statistics PMPM and utilization per ...
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64
Medical cost trend: Behind the numbers 2022 - PwC
https://www.pwc.com/us/en/industries/health-industries/library/behind-the-numbers.html
... space between business functions that typically do not generate revenue and ... The Congressional Budget Office said the law will lower premiums by 0.5% ...
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https://www.pwc.com/us/en/industries/health-industries/library/behind-the-numbers.html
... space between business functions that typically do not generate revenue and ... The Congressional Budget Office said the law will lower premiums by 0.5% ...
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65
Part 1 - 2023 Community Rating Guidelines - OPM
https://www.opm.gov/healthcare-insurance/healthcare/carriers/2022/2022-09a.pdf
must add the risk payment received to the FEHB premium income, which is included in the ... Capitation Rate – a per member per month revenue requirement.
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https://www.opm.gov/healthcare-insurance/healthcare/carriers/2022/2022-09a.pdf
must add the risk payment received to the FEHB premium income, which is included in the ... Capitation Rate – a per member per month revenue requirement.
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66
Department of Health and Human Services - GovInfo
https://www.govinfo.gov/content/pkg/FR-2013-03-11/pdf/2013-04902.pdf
payments of the premium tax credit; the. Federally-facilitated Small Business. Health Option Program; and the medical loss ratio program.
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https://www.govinfo.gov/content/pkg/FR-2013-03-11/pdf/2013-04902.pdf
payments of the premium tax credit; the. Federally-facilitated Small Business. Health Option Program; and the medical loss ratio program.
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67
New Report Suggests Massive Insurer Losses In 2015 On ...
https://www.forbes.com/sites/theapothecary/2016/05/11/new-report-suggests-massive-insurer-losses-in-2015-on-obamacare-as-health-care-spending-explodes/
The comparable PMPM cost increase in the commercial market, which the ... premium income of $4,672 and medical claims of $5,688 for 2015.
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https://www.forbes.com/sites/theapothecary/2016/05/11/new-report-suggests-massive-insurer-losses-in-2015-on-obamacare-as-health-care-spending-explodes/
The comparable PMPM cost increase in the commercial market, which the ... premium income of $4,672 and medical claims of $5,688 for 2015.
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68
Oregon Medicaid Buy-in Considerations Date: October 18, 2018
https://www.oregonlegislature.gov/committees/hhc/WorkgroupDocuments/staff%20-%20(handout%20(2)%2010-18-2018%20meeting).pdf
exchange/marketplace commercial coverage with subsidies/tax credits. ... Any premium assistance or subsidies for low-income.
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https://www.oregonlegislature.gov/committees/hhc/WorkgroupDocuments/staff%20-%20(handout%20(2)%2010-18-2018%20meeting).pdf
exchange/marketplace commercial coverage with subsidies/tax credits. ... Any premium assistance or subsidies for low-income.
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69
impact of eliminating the employer mandate in the state of ohio
https://insurance.ohio.gov/static/Consumer/Documents/Employer+Mandate+Actuarial+Analysis+-+Final+Report.pdf
Result in premium rates per-member-per-month (PMPM) that are expected to be ... following: federal income tax collections, small business health care tax ...
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https://insurance.ohio.gov/static/Consumer/Documents/Employer+Mandate+Actuarial+Analysis+-+Final+Report.pdf
Result in premium rates per-member-per-month (PMPM) that are expected to be ... following: federal income tax collections, small business health care tax ...
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70
FinDeanHealthPlan.pdf
https://oci.wi.gov/Documents/Companies/FinDeanHealthPlan.pdf
Dean Health Plan, Inc., is described as a for-profit group model health ... reported a total premium Per Member Per Month (PMPM) of $427.48, ...
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https://oci.wi.gov/Documents/Companies/FinDeanHealthPlan.pdf
Dean Health Plan, Inc., is described as a for-profit group model health ... reported a total premium Per Member Per Month (PMPM) of $427.48, ...
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71
coventry health care completes $600 million, 10-year senior ...
http://dhh.louisiana.gov/assets/docs/Making_Medicaid_Better/Resources/CCN_RFP_Proposals/Coventry_Heathcare_of_LA/B.13-1_Press_Releases_Combined_FINAL.pdf
As of March 31, 2011, health plan commercial risk membership was 1,636,000, ... (5) Revenue PMPM excludes the impact of CMS risk-share premium adjustments ...
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http://dhh.louisiana.gov/assets/docs/Making_Medicaid_Better/Resources/CCN_RFP_Proposals/Coventry_Heathcare_of_LA/B.13-1_Press_Releases_Combined_FINAL.pdf
As of March 31, 2011, health plan commercial risk membership was 1,636,000, ... (5) Revenue PMPM excludes the impact of CMS risk-share premium adjustments ...
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72
Part III Actuarial Memorandum and Certification
https://insurance.ky.gov/ppc/Ratefil/RFDocuments/2021-008820-R_3.pdf
Experience and Current Period Premium, Claims, and Enrollment ... To estimate incurred claims, all commercial claims experience is ...
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https://insurance.ky.gov/ppc/Ratefil/RFDocuments/2021-008820-R_3.pdf
Experience and Current Period Premium, Claims, and Enrollment ... To estimate incurred claims, all commercial claims experience is ...
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73
2021 Annual Report - AnnualReports.com
https://www.annualreports.com/Click/21196
investment in our Medicare Advantage business ... 20% of our individual Medicare Advantage premiums revenue, or 15% of our consolidated ...
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https://www.annualreports.com/Click/21196
investment in our Medicare Advantage business ... 20% of our individual Medicare Advantage premiums revenue, or 15% of our consolidated ...
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74
How would individual market premiums change in 2019 in a ...
https://www.brookings.edu/research/how-would-individual-market-premiums-change-in-2019-in-a-stable-policy-environment/
Insurers will earn large profits in the ACA-compliant individual market in 2018: Fiedler projects that insurers' revenues in the ACA-compliant ...
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https://www.brookings.edu/research/how-would-individual-market-premiums-change-in-2019-in-a-stable-policy-environment/
Insurers will earn large profits in the ACA-compliant individual market in 2018: Fiedler projects that insurers' revenues in the ACA-compliant ...
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75
Large Group Medical Insurance Reserves, Liabilities and ...
https://www.actuary.org/sites/default/files/files/Draft_Large_Group_Medical_Business_Practice_Note_Jan_2013.pdf
group medical business also includes minimum premium plans, ... promulgated by other federal regulators, such as the Internal Revenue Service (IRS).
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https://www.actuary.org/sites/default/files/files/Draft_Large_Group_Medical_Business_Practice_Note_Jan_2013.pdf
group medical business also includes minimum premium plans, ... promulgated by other federal regulators, such as the Internal Revenue Service (IRS).
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76
Colorado All Payer Claims Database Annual Report • 2018
https://www.civhc.org/wp-content/uploads/2019/01/2018-CO-APCD-Annual-Report-incl.-Appendices.pdf
Colorado, with more than nine years of data from commercial health insurance payers, ... CO APCD Earned Revenue, Grant Revenue and Total Expenses, FY13-FY18.
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https://www.civhc.org/wp-content/uploads/2019/01/2018-CO-APCD-Annual-Report-incl.-Appendices.pdf
Colorado, with more than nine years of data from commercial health insurance payers, ... CO APCD Earned Revenue, Grant Revenue and Total Expenses, FY13-FY18.
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77
Oxford Health Plans (NJ), Inc.
https://www.state.nj.us/dobi/division_insurance/solvency/annualstatements/2020/oxford/key.pdf
Business. 2. Reinsurance. Assumed. 3. Reinsurance. Ceded. 4. Net Premium. Income. (Cols. 1 + 2 - 3). 1. Comprehensive (hospital and medical). 7,710,689.
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https://www.state.nj.us/dobi/division_insurance/solvency/annualstatements/2020/oxford/key.pdf
Business. 2. Reinsurance. Assumed. 3. Reinsurance. Ceded. 4. Net Premium. Income. (Cols. 1 + 2 - 3). 1. Comprehensive (hospital and medical). 7,710,689.
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78
The MCOL Blog - Mcol Blog
http://mcolblog.com/kcblog/tag/health-plans?currentPage=5
ASO/ASC increased as commercial insured membership declined. ... The method for calculation of premium assistance for lower-income enrollees (projected to ...
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http://mcolblog.com/kcblog/tag/health-plans?currentPage=5
ASO/ASC increased as commercial insured membership declined. ... The method for calculation of premium assistance for lower-income enrollees (projected to ...
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79
How Has the Affordable Care Act Affected Health Insurers ...
https://www.commonwealthfund.org/sites/default/files/documents/___media_files_publications_issue_brief_2016_jul_1886_hall_insurers_financial_performance_aca_rb_revised_07_26_2016.pdf
centage of premiums that insurers can devote to profit and administrative ... Exhibit 1 compares insurers' projected per-member-per-month ...
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https://www.commonwealthfund.org/sites/default/files/documents/___media_files_publications_issue_brief_2016_jul_1886_hall_insurers_financial_performance_aca_rb_revised_07_26_2016.pdf
centage of premiums that insurers can devote to profit and administrative ... Exhibit 1 compares insurers' projected per-member-per-month ...
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80
Alaska 1332 Waiver Application
https://www.commerce.alaska.gov/web/Portals/11/Pub/Alaska-1332-Waiver-Application-with-Attachments-Appendices.pdf?ver=2017-01-05-112938-193
Revenue Code and 1402 of the Affordable Care Act (ACA), ... Premiums in the Alaska individual health insurance market have increased ...
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https://www.commerce.alaska.gov/web/Portals/11/Pub/Alaska-1332-Waiver-Application-with-Attachments-Appendices.pdf?ver=2017-01-05-112938-193
Revenue Code and 1402 of the Affordable Care Act (ACA), ... Premiums in the Alaska individual health insurance market have increased ...
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81
FINANCIAL IMPACT OF MEDICAID EXPANSION ... - Altarum
https://altarum.org/sites/default/files/uploaded-related-files/NIHCR_Altarum_Baumgarten_Medicaid_Expansion_brief2_final.pdf
drawn from the exhibits of enrollment, revenues, and expenses by major line ... Comparison of Michigan Medicaid HMO Premiums, Per Member Per Month, ...
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https://altarum.org/sites/default/files/uploaded-related-files/NIHCR_Altarum_Baumgarten_Medicaid_Expansion_brief2_final.pdf
drawn from the exhibits of enrollment, revenues, and expenses by major line ... Comparison of Michigan Medicaid HMO Premiums, Per Member Per Month, ...
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82
Filing at a Glance - Washington D.C. Department of Insurance
https://disb.dc.gov/sites/default/files/dc/sites/disb/publication/attachments/KPMA-129198689.pdf
revenue requirement for the total block of business. The Projected Revenue PMPM Target of $417.56 reflects current benefits and exposure as ...
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https://disb.dc.gov/sites/default/files/dc/sites/disb/publication/attachments/KPMA-129198689.pdf
revenue requirement for the total block of business. The Projected Revenue PMPM Target of $417.56 reflects current benefits and exposure as ...
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83
Understanding Capitation - American College of Physicians
https://www.acponline.org/about-acp/about-internal-medicine/career-paths/residency-career-counseling/resident-career-counseling-guidance-and-tips/understanding-capitation
... not imply a standard for comparison purposes. The jargon used by managed care organizations for the capitation rate is PMPM (per member, per month).
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https://www.acponline.org/about-acp/about-internal-medicine/career-paths/residency-career-counseling/resident-career-counseling-guidance-and-tips/understanding-capitation
... not imply a standard for comparison purposes. The jargon used by managed care organizations for the capitation rate is PMPM (per member, per month).
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84
Medicaid Program - Mainstream Managed Care Organizations
https://www.osc.state.ny.us/files/state-agencies/audits/pdf/sga-2017-14s55.pdf
person for whom the MCO recognized premium revenue for one month. ... PMPM premium rate is calculated as follows: the adjusted regional ...
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https://www.osc.state.ny.us/files/state-agencies/audits/pdf/sga-2017-14s55.pdf
person for whom the MCO recognized premium revenue for one month. ... PMPM premium rate is calculated as follows: the adjusted regional ...
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85
Medicare Advantage Value-Based Care Arrangements Up ...
https://revcycleintelligence.com/news/medicare-advantage-value-based-care-arrangements-up-revenue
“Most health plans' overall VBC strategy is strongly aligned across commercial and MA lines of business. However, MA's high per-member/per-month ...
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https://revcycleintelligence.com/news/medicare-advantage-value-based-care-arrangements-up-revenue
“Most health plans' overall VBC strategy is strongly aligned across commercial and MA lines of business. However, MA's high per-member/per-month ...
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86
Why 3 Start-Up Health Plans Went Into The Red
https://lsc-pagepro.mydigitalpublication.com/publication/?i=544702&article_id=3242557&view=articleBrowser
Results: Premiums for start-up plans were within 9% of median silver premiums yet adjusted net income was negative (–$190 PMPM) for all ...
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https://lsc-pagepro.mydigitalpublication.com/publication/?i=544702&article_id=3242557&view=articleBrowser
Results: Premiums for start-up plans were within 9% of median silver premiums yet adjusted net income was negative (–$190 PMPM) for all ...
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87
Medical Loss Ratios in Medicaid Managed Care - MACPAC
https://www.macpac.gov/wp-content/uploads/2022/01/Medical-loss-ratio-issue-brief-January-2022.pdf
typically made on a per member per month basis. ... counted as premium revenue for purposes of the MLR; only capitation payments made for ...
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https://www.macpac.gov/wp-content/uploads/2022/01/Medical-loss-ratio-issue-brief-January-2022.pdf
typically made on a per member per month basis. ... counted as premium revenue for purposes of the MLR; only capitation payments made for ...
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88
Premium Revenue Definition | Law Insider
https://www.lawinsider.com/dictionary/premium-revenue
Define Premium Revenue. means premium revenue of the Company paid by Payors on a capitated per Member per month basis for healthcare services provided to ...
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https://www.lawinsider.com/dictionary/premium-revenue
Define Premium Revenue. means premium revenue of the Company paid by Payors on a capitated per Member per month basis for healthcare services provided to ...
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89
Florida's HMO report for past year - South Florida Business Journal
https://www.bizjournals.com/southflorida/stories/2001/06/18/daily42.html
Healthy Palm Beaches experienced the greatest drop in profitability with net income PMPM falling to (-$8.71 PMPM in 4Q00 from $0.88 PMPM in FY 1999. Premium ...
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https://www.bizjournals.com/southflorida/stories/2001/06/18/daily42.html
Healthy Palm Beaches experienced the greatest drop in profitability with net income PMPM falling to (-$8.71 PMPM in 4Q00 from $0.88 PMPM in FY 1999. Premium ...
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90
HMO Profitability and Premiums Rise in 2001-2002
https://allanbaumgarten.com/hmo-profitability-and-premiums-rise-in-2001-2002/
Exhibit 1: HMO Average Commercial Premium Revenues Per Member Per Month, 1994-2002. Premiums stayed low for several reasons.
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https://allanbaumgarten.com/hmo-profitability-and-premiums-rise-in-2001-2002/
Exhibit 1: HMO Average Commercial Premium Revenues Per Member Per Month, 1994-2002. Premiums stayed low for several reasons.
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91
California Health Care Market Report 2005
https://www.chcf.org/wp-content/uploads/2017/12/PDF-CAHealthCareMarketRep2005.pdf
Exhibit 17. California HMO Commercial Premium Revenue, PMPM. 46. Exhibit 18. HMO Commercial Premium Revenue Trends. 46. 3.8 HMO Medical Loss Ratios.
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https://www.chcf.org/wp-content/uploads/2017/12/PDF-CAHealthCareMarketRep2005.pdf
Exhibit 17. California HMO Commercial Premium Revenue, PMPM. 46. Exhibit 18. HMO Commercial Premium Revenue Trends. 46. 3.8 HMO Medical Loss Ratios.
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92
Medicare Advantage Gross Margins Rise 41% Over 2019 ...
https://healthpayerintelligence.com/news/medicare-advantage-gross-margins-rise-41-over-2019-margins
The researchers observed payers' gross margins—the average amount of premium income that remains after enrollee's claim costs have been ...
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https://healthpayerintelligence.com/news/medicare-advantage-gross-margins-rise-41-over-2019-margins
The researchers observed payers' gross margins—the average amount of premium income that remains after enrollee's claim costs have been ...
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93
Oxford Health Plans Inc 2004 8-K Current report - SEC Report
https://sec.report/Document/0001193125-04-072256/
Premium Revenue: Premium revenue increased 5.6% in the first quarter to $1.38 billion from $1.31 billion in the first quarter of 2003. Commercial premiums ...
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https://sec.report/Document/0001193125-04-072256/
Premium Revenue: Premium revenue increased 5.6% in the first quarter to $1.38 billion from $1.31 billion in the first quarter of 2003. Commercial premiums ...
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