• Critical Point podcast, Episode 1: Healthcare waste

  13 June 2018

  Three members of our MedInsight team discuss minimizing healthcare waste and reducing unnecessary costs across the American healthcare system.

• Are Medicare Advantage plans ready for the high costs of long-term care?

  By Christopher J. Giese, Allen J. Schmitz | 12 June 2018

  There are a number of factors that may influence how Medicare Advantage plans offer and price new long-term care benefits.

• The impact of the $0 individual mandate penalty

  By Andrew Bourg, Fritz Busch, Stacey V. Muller | 08 June 2018

  Understanding the impact of the $0 individual mandate penalty on the health insurance risk pool is important to both insurers offering ACA-compliant products and state policymakers evaluating its alternatives.

• Product Governance

  By Neha Taneja | 05 June 2018

  A robust product governance process can reduce mis-selling and complaints, and increase policyholder confidence in the market.

• Medicaid managed care financial results for 2017

  By Jeremy D. Palmer, Christopher T. Pettit, Ian M. McCulla | 04 June 2018

  This report summarizes the calendar year 2017 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.

• A primer on prescription drug rebates: Insights into why rebates are a target for reducing prices

  By Gabriela Dieguez, Maggie Alston, Samantha Tomicki | 21 May 2018

  This article explains the finances associated with pharmaceutical manufacturer rebates and their impact on health insurer coverage decisions.

• 2018 Milliman Medical Index

  By Christopher S. Girod, Susan K. Hart, Scott A. Weltz | 21 May 2018

  Healthcare costs for the typical American family of four rose to over $28,000 in 2018.

• Commercial health insurance: Overview of 2016 financial results and emerging enrollment and premium data

  By Paul R. Houchens, Jason Clarkson, Jason Melek | 17 May 2018

  This report provides a detailed review of the commercial health insurance industry’s financial results in 2016 and evaluates changes in the market’s expense structure and enrollment prior to relative years.

• Summary of key results from 2017 U.S. Group Disability Market Survey

  By Jennifer M. Fleck, Paul L. Correia | 15 May 2018

  The 2017 U.S. Group Disability Market Survey covers employer-paid and employee-paid short-term disability and long-term disability insurance products, and includes an analysis of premiums, cases, and covered lives from new sales and inforce business in 2016 and 2017.

• National Health Protection Scheme: Short-term and long-term challenges

  By Abhishek Agrawal | 14 May 2018

  The short-term and long-term challenges of India’s National Health Protection Scheme should be reviewed and tackled differently by each stakeholder- the central government, state governments, the provider community, and the insurer community.

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