February 2016

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

Enterprise Risk Management (ERM) 

The term Total Cost of Risk (TCOR) means something different to each organization depending upon the risk management philosophy and leadership. The definition has expanded to include the cost of risks matching individual profiles that are self-insured, insured and uninsured. The days of adding up all the insurance premiums, claims, and allocated costs to come up with the total cost of risk are long gone. Read more >>

Claim Settlement, Medicare, and Medicare Set Asides

Each year the Department of Health and Human Services (HHS) publishes their updated Official U.S. Government Medicare handbook with important information for administrators and consumers to know. Also, Social Security has recently their statistical snapshot for December 2015. The implications related to claims settlement negotiations and processes are discussed. Read more >>

Healthcare

A recently completed survey of clients and healthcare leaders has revealed several 2016 trends. A combination of factors are influencing quality and costs in the industry. The top three survey results focus on the key underlying dynamics defining how risk and claim management leaders will manage future healthcare issues. Read more >>