December 2014

Our e-newsletter for Enterprise Risk Management, Claim Settlement and Healthcare Solutions.

Best Wishes to All For A Very Happy Holiday Season

and a Bright and Prosperous New Year!

Enterprise Risk Management (ERM)

In a recent study completed by the Indianapolis office of Milliman, the authors provide unique insights about the recent past and future of healthcare insurance. They discuss three distinct health insurance risk profiles of “individual”, “small group”, and “large group” programs in their analysis of Medical Loss Ratios from the Centers for Medicare and Medicaid Services (CMS) databases. Does your program stack up to one of these models for costs and effectiveness? To read more, click here >>

Claim Settlement, Medicare, and Medicare Set Asides

CMS’s announcement on November 17, 2014 of HCP coverage changes affects Workers Compensation Medicare Set Aside (WCMSA) proposals submitted on or after January 1, 2015. To read more, click here >>

Healthcare

Medicare continues to emphasize primary care management services by beginning to make separate payment for chronic care management (CCM) services beginning in 2015. To read more, click here >>

On behalf of our clients, partners and associates, we support the 

following organizations for those in need.

                                                                          Bethany House

                                                                 The Diocese of Rochester

                                                               Heritage Christian Services