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Measuring employer cost savings from network changes25 May 2016 - By Hans K. Leida and Shyam Kolli and Troy J. Pritchett - Article

This paper discusses risk-adjusted allowed costs in the context of large self-insured employers that are looking to identify efficient providers and directly contract with them to reduce costs and/or improve employee health outcomes.

CSR subsidies: Intra-year emergence15 September 2015 - By and Shyam Kolli - Article

The difference between prospective payments from Centers for Medicare and Medicaid Services and actual cost-sharing reduction payments may have a significant impact on quarterly financial statements for some carriers.

Risk adjustment plus risk corridors: Offsetting impact29 January 2015 - By and Shyam Kolli - Article

Actuaries need to consider the combined impact of the risk adjustment program, the transitional reinsurance program, and risk corridors on a company’s balance sheet.


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