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Medical loss ratio (MLR) in the 'Mega Reg'27 June 2016 - By Ian M. McCulla and Jill Brostowitz and Scott O. Jones - Article

While the Medicaid medical loss ratios (MLR) formula itself largely follows the commercial and Medicare Advantage (MA) MLR formula, there are key differences between the Medicaid minimum MLR standards and those currently established for the commercial and MA markets.

Medicaid risk-based managed care: Analysis of administrative costs for 201520 June 2016 - By Christopher T. Pettit and Ian M. McCulla and Jeremy D. Palmer - Article

This report summarizes the calendar year 2015 experience for selected financial metrics of organizations reporting Medicaid experience under the Title XIX Medicaid line of business on the National Association of Insurance Commissioners annual statement.

Calendar year 2016 Medicare Part B premium increase: Impact on state Medicaid programs02 October 2015 - By Ian M. McCulla and Robert M. Damler - Article

This year, preliminary estimates indicate that the increase in the Medicare Part B premium will be higher than the cost inflation alone, and a quirk in the laws may require the increase to be spread unevenly among beneficiaries, at least for this year.

Medicaid risk-based managed care: Analysis of administrative costs for 201423 June 2015 - By Christopher T. Pettit and Ian M. McCulla and Jeremy D. Palmer - Article

This report summarizes the calendar year 2014 administrative expenses for organizations reporting Medicaid experience under the Title XIX Medicaid line of business on the National Association of Insurance Commissioners annual statement.


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