May 2016

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

Enterprise Risk Management (ERM) 

According to one of our recent surveys, lowering the Total Cost of Risk (TCOR) is a primary goal of all Chief Financial Officers and Risk Managers. Are you using all of the latest tools and services to gain the greatest understanding of your key drivers of risk costs? Are you obtaining a technical awareness of the key causes and conditions of your program?   Read more >>

Claim Settlement, Medicare, and Medicare Set Asides

On April 18, 2016, CMS announced they issued a new Medicare, Medicaid, and SCHIP Extension Act (MMSEA) Section 111 User Guide, Version 4.9. New information and instructions for the Medicare Secondary Payer (MSP) Group Health Plan (GHP) reporting requirements are documented in the Guide.   Read more >>

Healthcare

More than 25% of Americans live with the burden of more than one ongoing health condition, and the number of persons living with multiple chronic conditions (MCC) is growing dramatically. Medical costs for persons with chronic illnesses account for 75% of US health care spending, and more than 90% of Medicare spending on older adults is devoted to persons with MCC.   Read more >>