Health Plan Strategies for Using Predictive Modeling in Underwriting


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April 1, 2008


"The [health plan] industry knows that [political debate over Medicare Advantage funding] is coming. If I'm Humana or United, or a large MA player, I might want to push my medical loss ratio up a little bit, making less profit in '08 than in '07...."

-- Tom Carroll, a managing director at Stifel Nicolaus Capital Markets, told AIS's Medicare Advantage News.

Today's Featured Story

Health Plans Use Family-Centric Policies and Job Flexibility to Attract and Retain Nurses and Prepare for Enormous Shortage Ahead

About 90%

… of the 44 million Medicare beneficiaries have drug coverage from Medicare or another source, according to CMS.


MANAGED MEDICARE AND MEDICAID FACTBOOK: 2008
A 605-page resource that contains up-to-date enrollment data on all Medicare Advantage plans, and features current and historical statistics so you can make plan-by-plan or state-by-state comparisons. Click here.

People On the Move
Vested Health, an administrator of IRS-qualified health savings plans, promoted Shawn Dobson to president and CEO. Dobson succeeded Pat Bond, who was appointed interim CEO last year. Dobson was the company's executive vice president.…Wakely Consulting Group, Inc., a Medicare Advantage actuarial firm in Clearwater, Fla., hired Julia Lambert as principal. Lambert was a managing principal and Medicare actuarial practice leader for Reden & Anders.

Innovative Provider Payment Strategy or Capitation All Over Again?
An audioconference - April 3, 2008
Learn new provider-payment strategies health plans are experimenting with to replace the traditional fee-for-service model - from Robert Mandel, M.D., vice president of health care services at BCBSMA, and François de Brantes, CEO for Bridges To Excellence. Click here.

Content questions or suggestions should be directed to BJ Taylor, editor of AIS's HEALTH BUSINESS DAILY, at bjtaylor@aispub.com.

If you are interested in sponsoring AIS's HEALTH BUSINESS DAILY, please contact Bailey Sterrett at bsterrett@aispub.com
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Information contained in AIS's Health Business Daily is included with the understanding that Atlantic Information Services, Inc. is not engaged in rendering legal, accounting or other professional services. If legal advice or other expert assistance is required, the services of a competent professional person should be sought.


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HSA DIRECTORY AND RESOURCE GUIDE: 2007
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