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Posts Tagged ‘Raymond Pryor’

Indiana posts exchange papers

June 28th, 2011
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The state of Indiana has posted a number of issue briefs written by Milliman consultants. The issue briefs concern Indiana’s state exchange and health reform in general. The full library is available here. Of particular interest:

  • Comparison of Insurer/Plan Selection Approaches
  • Offering Exchange Benefit Plans Outside the Exchange
  • Health Plan Quality Monitoring
  • ACA Impact on Premium Rates in the Individual and Small Group Markets
  • Individual and Small Group Premium Changes Under the ACA
  • 2019 Health Insurance Enrollment Projection for Indiana
  • Merging the Individual and Small Group Markets

Reform Andrew Naugle, Jill Herbold, Patty Jones, Paul Houchens, Raymond Pryor, Rob Damler, state exchanges

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Milliman Research

  • 2012 Milliman Medical Index
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  • Medicare Advantage Hierarchical Condition Categories: Updated Study Results (PDF)
  • Commercial Risk Adjustment and Transfer Payments: Are You Ready? (PDF)
  • PPACA: Timeline of Key Deadlines Between Now and 2016 (PDF)
  • National Burden of Preventable Adverse Drug Events Associated With Inpatient Injectable Medications: Healthcare and Medical Professional Liability Costs (PDF)
  • Premium Deficiency Reserve Requirements for Accident and Health Insurance (PDF)
  • Determining Discounts (PDF)
  • Ten Critical Considerations for Health Insurance Plans Evaluating Participation in Public Exchange Markets (PDF)
  • Essential Health Benefits: Review of the State Employee Benchmark Plans and Illustration of Possible Variation in Essential Health Benefits by State (PDF)
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  • The Milliman Healthcare Reform Strategic Impact Study: Helping Employers Make Sense of Healthcare Reform (PDF)
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  • Communicating Healthcare Reform: Helping Navigate the Waters
  • By the Numbers: The MPL Insurance Market: The Clock Is Ticking on Reserve Releases (PDF)
  • Milliman RBRVS for Hospitals (PDF)
  • PPACA Guidance: "Full-Time" Employee Definition, 90-Day Waiting Period (PDF)
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  • Benefit Designs for High Cost Medical Conditions (PDF)
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  • Pioneer ACOs: Quantifying Risks and Identifying Opportunities (PDF)
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  • ACO Gain/Loss Sharing (PDF)
  • Using ICD-10 for Immediate Quality of Care and Coding Improvements (PDF)
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  • 2010 Commercial Health Insurance Market: New Financial and Enrollment Data Available From the Supplemental Exhibit (PDF)
  • Transparent Cost Network: A Practical Consumer-Driven Healthcare Solution
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  • EGWP/wrap: Why now? (PDF)
  • The Young Are the Restless: Demographic Changes Under Health Reform
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  • 2010 Milliman Medical Index (PDF)
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  • Four Quarters Make a Buck: 2010 Year-End Results for Medical Professional Liability Specialty Writers (PDF)
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  • A First Look at ACOs' Risky Business: Quality Is Not Enough (PDF)
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  • Healthcare Reform: Strategic Considerations for 2011
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  • How Using Care Management Guidelines Can Help Accountable Care Organizations Achieve Success (PDF)
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  • Perspectives on the Community Living Assistance Services and Support (CLASS) Act
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  • Should Your State Establish a Health Insurance Exchange? (PDF)
  • Controlling Healthcare Costs the Old, New Way (PDF)
  • Risk Adjustment: Health Calculus for the Reform Environment (PDF)
  • Why Hospital Cost Shifting Is No Longer a Viable Strategy (PDF)
  • Want to Manage Employer Healthcare Costs? It Starts With Managing Utilization
  • Cancer Patients Receiving Chemotherapy: Opportunities for Better Management (PDF)
  • National Healthcare Reform: Strategic Considerations for Large Employers (PDF)
  • Improved Management Can Help Reduce the Economic Burden of Type 2 Diabetes: A 20-year Actuarial Projection (PDF)
  • Implementing Parity: Investing in Behavioral Health (PDF)
  • Guidance Issued on Extending Health Plan Coverage to Employees' Adult Children (PDF)
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  • The Difficulty of Legislating Premium Rate Increases (PDF)
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  • Combo LTC Annuities: Here They Come
  • ICD-10: Industry Perceptions and Readiness (PDF)
  • Consequences of Hepatitis C Virus (HCV): Costs of a Baby Boomer Epidemic of Liver Disease (PDF)
  • Medicare Part D: Taking Another Look at Employer Group Waiver Plans for Tax-exempt Plan Sponsors (PDF)
  • Adverse Selection and the CLASS Act (PDF)
  • Adverse Selection and the Individual Mandate (PDF)
  • No Room to Stand (PDF)
  • "Young Invincible" Provision Points to Lingering Questions About Cost and Sustainability (PDF)
  • Retooling Medical Professional Liability (PDF)
  • Experience Under the Healthy Indiana Plan: The Short-term Cost Challenges of Expanding Coverage to the Uninsured (PDF)
  • Regional Data Exchanges Unlock the Potential of Electronic Health Records (PDF)
  • The Convergence of Quality and Efficiency and the Role of Information Technology in Healthcare Reform (PDF)
  • Comprehending the Compromise: Key Considerations in Understanding the "Co-op" as an Alternative to the "Public Plan"
  • Healthcare Reform: Large Employer Impact (PDF)
  • Understanding Healthcare Plan Costs and Complexities
  • Three Keys to Getting Healthcare Reform Right
  • Transforming Healthcare: Identifying the Failures and Unlocking the Potential of Our Current System
  • Preparing for Parity: Investing in Mental Health (PDF)
  • Imagining 16% to 12%: A Vision for Cost Efficiency, Improving Healthcare Quality, and Covering the Uninsured (PDF)
  • Hidden Health Tax (PDF)
  • Hospital and Physician Cost Shift (PDF)
  • Consumer-Driven Impact Study (PDF)
  • The Impact of Healthcare Reform on Medicare Part D (PDF)
  • PBM Transparency Could Be Inevitable
  • Success of $4 Generic Programs Highlights Potential Consumerism (PDF)
  • The Impact of AWP Litigation on Your PBM Contract (PDF)
  • Ten Critical Factors for Health Plan Success in Implementing ICD-10 (PDF)
  • ICD-10 Savings: Who Will Be the Winners? (PDF)
  • Healthcare Data Pooling: Coming Soon to a Community Near You? (PDF)
  • Market-based Insurance Design: A New Approach to Bend the Healthcare Cost Curve (PDF)
  • 2009 Milliman Medical Index (PDF)
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  • Healthcare Reform Resources

  • American Medical Association (AMA): How the Passage of Federal Health System Reform Legislation Impacts Your Practice
  • Kaiser Family Foundation: Health Reform Implementation Timeline
  • Kaiser Family Foundation: Summary of New Health Reform Law
  • More Kaiser Family Foundation healthcare resources
  • Statement from American Heart Association CEO Nancy Brown on House Passage of Senate Health Care Reform Legislation

  • Other Resources

  • Age Rating Under Comprehensive Health Care Reform: Implications for Coverage, Costs, and Household Financial Burdens (PDF)
  • Appraisal of Guidelines for Research & Evaluation (AGREE) Instrument (PDF)
  • Bureau of Labor Statistics Guide to the Health Care Industry
  • California Legislative Analyst's Office Report: A State Policy Approach: Promoting Health Information Technology in California
  • The Cost of Failure to Enact Health Reform: Implications for States (PDF)
  • The Dartmouth Atlas of Health Care
  • Health Economics, Policy and Law: Effect of the Implementation of an Enterprise-wide Electronic Health Record on Productivity in the Veterans Health Administration
  • Health Care Reform and American Federalism: The Next Inter-Governmental Partnership (PDF)
  • Institute of Medicine: Knowing What Works in Health Care: A Roadmap for the Nation
  • National Academy of Science Institute of Medicine: Evidence-Based Medicine and the Changing Nature of Healthcare

  • Congressional Budget Office Reports

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  • The Long-Term Budget Outlook and Options for Slowing the Growth of Health Care Costs
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