Claims integration within the supplemental benefits world
As the insurance industry transitions to being more customer-centric, implementing claims integration will likely become a must-have feature.
Determining which changes to the healthcare system are best for the United States is a political question. However, actuarial investigation can be essential in understanding the potential financial and risk management implications of a proposal, including whether it is likely to achieve its stated goals. This case study explores the concept of a Medicare Advantage and Part D buy-in option by analyzing potential outcomes under one set of policy and program characteristics.