- Zombie statistics and the prevalence of rare diseases: A scary story
By Donna Wix, David V. Williams | 05 December 2019
What are the prevalence rates for rheumatoid arthritis, ulcerative colitis, and hemophilia as compared to zombie statistics commonly cited?
- Value of care categories
By Joanne Buckle, Tanya Hayward, Natasha Singhal | 05 December 2019
The value of care categories assess the validity and efficacy of treatments in relation to associated conditions to inform where groups of patients may benefit from alternative pathways.
- Advantages of creating plan segments in Medicare Advantage bids
By Julia M. Friedman | 04 December 2019
What are the advantages of adding a segmented plan to a Medicare Advantage organization portfolio and what are the bid requirements for segmented plans?
- Summary of individual market enrollment and Affordable Care Act subsidies
By Paul R. Houchens, Jason A. Clarkson, Zachary Fohl | 26 November 2019
These state profiles summarize insurer financials, marketplace enrollment, and federal assistance provided to households purchasing insurance coverage through the insurance marketplaces, incorporating recently released data from the 2019 open enrollment period and estimated 2019 effectuated enrollment.
- Is your spouse contagious?
By Allen J. Schmitz, Ali Yeager, Jeremy Hamilton | 22 November 2019
How does spousal contagion influence long-term care needs?
- Six challenges to successful adoption of value-based care in the Middle East
By Lalit Baveja, Alison Counihan, Carol Bazell | 15 November 2019
The successful adoption of value-based care in the Middle East faces important challenges.
- Medicaid block grant risks and considerations
By Jeremy Cunningham, Mat DeLillo | 08 November 2019
This paper discusses the risks and considerations of changing Medicaid’s funding formula to a general block grant structure.
- Dental coverage in Medicare Advantage plans: Nationwide market landscape, 2019 update
By Joanne E. Fontana, Jacob Bryniarski | 01 November 2019
This article, using publicly available CMS data, explores the current landscape of dental benefits offered in Medicare Advantage plans, discussing the ramifications for insurers and consumers alike.
- An overview of the CMS Quality Rating System for QHPs
By Dustin J. Grzeskowiak, Darin Muse, Daniel Perlman | 01 November 2019
There may be some uncertainty for plans and consumers alike around the Quality Information Rating Bulletin—specifically, what the quality scores represent, how they are developed, and/or how they may be used now or in the future.
- EIOPA’s guidance on cloud outsourcing
By Claire Booth, Tanya Hayward, Tom Peplow | 24 October 2019
This paper discusses the areas which should be assessed before, during and after embarking on an outsourcing agreement with a cloud provider.