Risk Adjustment: Models and Using Encounter Data
|
|
- Jane Willa Butler
- 6 years ago
- Views:
Transcription
1 Risk Adjustment: Models and Using Encounter Data May 12, 2009 Workgroup on Managed Care Reimbursement Agency for Health Care Administration Tallahassee, Florida
2 Risk Adjustment Models
3 General Risk Adjustment Design Elements Types of Risk Adjustment Approaches Additive approach Members assigned to multiple categories (demographics and disease conditions) Categorical approach Members assigned to a single category based on overall illness burden 2
4 Model Selection Considerations Specificity of the model to the population to which it is being applied Cost of the software Access to data of sufficient quality Transparency of the mechanics and results of the model Application purpose (payment or quality assessment) Usability in the current market 3
5 Model Use by State Medicaid Program ACG CDPS CRG ERG MRX Delaware Colorado New York Arizona Delaware Maryland Delaware Florida Minnesota South Carolina Tennessee Michigan New Jersey Ohio Oklahoma Oregon Pennsylvania Texas Utah Virginia Wisconsin Washington 4
6 Moving Forward The Agency continues to review risk adjustment models to identify relevant features of each model and their applicability to Florida Medicaid. Plans to use CDPS have not changed; however, we believe we should perform our due diligence by looking at other options. We will continue to partner with the plans as we move forward. 5
7 Using Encounter Data in Rate Setting
8 Why Use Encounter Data in Rate Setting? CMS preferred data source as base data Uses the actual experience for the covered populations at a detailed level Allows the State to gain a more in-depth understanding of the factors driving cost and quality within its managed care program Can achieve greater accuracy and better match the payments to the participating plans risk 7
9 Base Data for Rates Primary Uses Requires complete and accurate data so that the base experience is not over or understated for each population and service category. Should have a good benchmark to measure the quality of the paid fields reported on encounters (i.e., financial reports). Financial reports that can be helpful in understanding the quality of encounter data include claims lag reports and annual income statements. Encounters can be blended with other source data (e.g., financial reports or FFS data) for some or all service categories until encounter data are fully complete. 8
10 Risk Adjustment Primary Uses Risk adjustment can be performed using pharmacy or nonpharmacy encounters. Focus is on complete and accurate information for the required fields: Pharmacy must have good national drug code information Non-pharmacy must have good diagnosis information Other information such as procedure and revenue codes Since results are budget neutral, each plan s data quality can have an impact on capitation payments for other plans. 9
11 Utilization Studies Primary Uses Compare utilization patterns for providers, regions, etc. Compare results to FFS program for benchmarking and policy decisions 10
12 Rate Setting Additional Uses Detailed encounters provide means for making clinically-supported actuarial adjustments for: Non-emergent and preventable ER visits Preventable Inpatient stays Inappropriate and/or non-cost effective use of pharmaceuticals Pay for Performance initiatives can be supported through encounter data. Claims Distributions derived from reported encounters can assist in evaluating high cost claims, reinsurance, stop loss, or other risk sharing arrangements. 11
13 Integrating Encounter Data into Rate Setting Rate Section Base data for rates Risk Adjustment Estimate program changes Utilization comparative analyses Trend analyses Compare HMOs at detailed level etc. Clinical Quality Medical management adjustment ER - Low Acuity Non-Emergent (LANE) Hospital - Prevention Quality Indicators (PQI) Pharmacy Overall cost effectiveness etc. Rate-setting Financial Section Validation of financial reports Flexibility in scope & depth of monitoring Analyzing COB, TPL Fraud, Abuse, and Waste Provider contracting analysis etc. Encounter Data in supporting role HMO relations Policy decisions Risk pools, risk sharing Performance based contracting FFS data comparisons etc. 12
14 Questions
Risk Adjustment 101: Health-Based Payment Adjustment Methodology
Risk Adjustment 101: Health-Based Payment Adjustment Methodology Presented by: Kim Browning, CHC, PMP, CHRS Executive Vice President, Cognisight, LLC Tara Swenson Attorney, Mintz, Levin, Cohn, Ferris,
More informationAppendix I: Data Sources and Analyses. Appendix II: Pharmacy Benefit Management Tools
Appendix I: Data Sources and Analyses This brief includes findings from analyses of the Centers for Medicare & Medicaid Services (CMS) State Drug Utilization Data 1 and CMS 64 reports for federal fiscal
More informationMEDICAID BUY-IN PROGRAMS
MEDICAID BUY-IN PROGRAMS Under federal law, states have the option of creating Medicaid buy-in programs that enable employed individuals with disabilities who make more than what is allowed under Section
More informationDSH Reduction Allocation Process Flows. DRAFT Based on 5/15/13 NPRM
DSH Reduction Allocation Process Flows 1 Overview The ACA mandates that the federal share of DSH payments be reduced by a specified dollar amount for each year between 2014 and 2020. The unreduced federal
More informationIncome from U.S. Government Obligations
Baird s ----------------------------------------------------------------------------------------------------------------------------- --------------- Enclosed is the 2017 Tax Form for your account with
More informationMedicaid and CHIP Eligibility, Enrollment, Renewal, and Cost-Sharing Policies as of January
State Required in Medicaid Table 15 Premium, Enrollment Fee, and Cost-Sharing Requirements for Children January 2016 Premiums/Enrollment Fees Required in CHIP (Total = 36) Lowest Income at Which Premiums
More informationKentucky , ,349 55,446 95,337 91,006 2,427 1, ,349, ,306,236 5,176,360 2,867,000 1,462
TABLE B MEMBERSHIP AND BENEFIT OPERATIONS OF STATE-ADMINISTERED EMPLOYEE RETIREMENT SYSTEMS, LAST MONTH OF FISCAL YEAR: MARCH 2003 Beneficiaries receiving periodic benefit payments Periodic benefit payments
More informationState Individual Income Taxes: Personal Exemptions/Credits, 2011
Individual Income Taxes: Personal Exemptions/s, 2011 Elderly Handicapped Blind Deaf Disabled FEDERAL Exemption $3,700 $7,400 $3,700 $7,400 $0 $3,700 $0 $0 $0 $0 Alabama Exemption $1,500 $3,000 $1,500 $3,000
More informationUndocumented Immigrants are:
Immigrants are: Current vs. Full Legal Status for All Immigrants Appendix 1: Detailed State and Local Tax Contributions of Total Immigrant Population Current vs. Full Legal Status for All Immigrants
More informationAIG Benefit Solutions Producer Licensing and Appointment Requirements by State
3600 Route 66, Mail Stop 4J, Neptune, NJ 07754 AIG Benefit Solutions Producer Licensing and Appointment Requirements by State As an industry leader in the group insurance benefits market, AIG is firmly
More informationEmployer-Funded Individual Health Insurance
Employer-Funded Individual Health Insurance ANNUAL REPORT 2016 1 EXECUTIVE SUMMARY This 2016 Annual Report is intended to provide a detailed, nationwide profile of how employers and employees are using
More informationThe Effect of the Federal Cigarette Tax Increase on State Revenue
FISCAL April 2009 No. 166 FACT The Effect of the Federal Cigarette Tax Increase on State Revenue By Patrick Fleenor Today the federal cigarette tax will rise from 39 cents to $1.01 per pack. The proceeds
More informationFederal Rates and Limits
Federal s and Limits FICA Social Security (OASDI) Base $118,500 Medicare (HI) Base No Limit Social Security (OASDI) Percentage 6.20% Medicare (HI) Percentage Maximum Employee Social Security (OASDI) Withholding
More informationAnnual Costs Cost of Care. Home Health Care
2017 Cost of Care Home Health Care USA National $18,304 $47,934 $114,400 3% $18,304 $49,192 $125,748 3% Alaska $33,176 $59,488 $73,216 1% $36,608 $63,492 $73,216 2% Alabama $29,744 $38,553 $52,624 1% $29,744
More informationImpacts of Prepayment Penalties and Balloon Loans on Foreclosure Starts, in Selected States: Supplemental Tables
THE UNIVERSITY NORTH CAROLINA at CHAPEL HILL T H E F R A N K H A W K I N S K E N A N I N S T I T U T E DR. MICHAEL A. STEGMAN, DIRECTOR T 919-962-8201 OF PRIVATE ENTERPRISE CENTER FOR COMMUNITY CAPITALISM
More informationProducer ( Distributor ) Commission Schedule
Producer ( Distributor ) Commission Schedule EFFECTIVE DATE: October 1, 2014 General Provisions This schedule is part of your Distributor Agreement with Medico Insurance Company and/or Medico Corp Life
More informationCheckpoint Payroll Sources All Payroll Sources
Checkpoint Payroll Sources All Payroll Sources Alabama Alaska Announcements Arizona Arkansas California Colorado Connecticut Source Foreign Account Tax Compliance Act ( FATCA ) Under Chapter 4 of the Code
More informationPotential Federal and State-by-State Savings if Medicaid Pharmacy Programs were Optimally Managed
Potential Federal and State-by-State Savings if Medicaid Pharmacy Programs were Optimally Managed February 2011 Commissioned by the Pharmaceutical Care Management Association Prepared by: Joel Menges Shirley
More informationThe impact of California s prescription drug cost-sharing cap
The impact of California s prescription drug cost-sharing cap Prepared by Milliman, Inc. Gabriela Dieguez, FSA, MAAA Principal and Consulting Actuary Bruce Pyenson, FSA, MAAA Principal and Consulting Actuary
More informationPay Frequency and Final Pay Provisions
Pay Frequency and Final Pay Provisions State Pay Frequency Minimum Final Pay Resign Final Pay Terminated Alabama Bi-weekly or semi-monthly No Provision No Provision Alaska Semi-monthly or monthly Next
More informationTable 15 Premium, Enrollment Fee, and Cost Sharing Requirements for Children, January 2017
State Required in Medicaid Required in CHIP (Total = 36) 1 Lowest Income at Which Premiums Begin (Percent of the FPL) 2 Required in Medicaid Required in CHIP (Total = 36) 1 Lowest Income at Which Cost
More informationUnion Members in New York and New Jersey 2018
For Release: Friday, March 29, 2019 19-528-NEW NEW YORK NEW JERSEY INFORMATION OFFICE: New York City, N.Y. Technical information: (646) 264-3600 BLSinfoNY@bls.gov www.bls.gov/regions/new-york-new-jersey
More informationBudget Uncertainty in Medicaid. Federal Funds Information for States
Budget Uncertainty in Medicaid Federal Funds Information for States www.ffis.org NCSL Legislative Summit August 2017 CHIP Funding State Flexibility DSH Cuts Uncertainty Block Grant ACA Expansion Per Capita
More informationState Income Tax Tables
ALABAMA 1 st $1,000... 2% Next 5,000... 4% Over 6,000... 5% ALASKA... 0% ARIZONA 1 1 st $10,000... 2.87% Next 15,000... 3.2% Next 25,000... 3.74% Next 100,000... 4.72% Over 150,000... 5.04% ARKANSAS 1
More informationCRS Report for Congress
Order Code RS21071 Updated February 15, 2005 CRS Report for Congress Received through the CRS Web Medicaid Expenditures, FY2002 and FY2003 Summary Karen L. Tritz Analyst in Social Legislation Domestic
More informationSales Tax Return Filing Thresholds by State
Thanks to R&M Consulting for assistance in putting this together Sales Tax Return Filing Thresholds by State State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Filing Thresholds
More informationTHE COST OF NOT EXPANDING MEDICAID
REPORT THE COST OF NOT EXPANDING MEDICAID July 2013 PREPARED BY John Holahan, Matthew Buettgens, and Stan Dorn The Urban Institute The Kaiser Commission on Medicaid and the Uninsured provides information
More informationNation s Uninsured Rate for Children Drops to Another Historic Low in 2016
Nation s Rate for Children Drops to Another Historic Low in 2016 by Joan Alker and Olivia Pham The number of uninsured children nationwide dropped to another historic low in 2016 with approximately 250,000
More informationRecourse for Employees Misclassified as Independent Contractors Department for Professional Employees, AFL-CIO
Recourse for Employees Misclassified as Independent Contractors Department for Professional Employees, AFL-CIO State Relevant Agency Contact Information Online Resources Online Filing Alabama Department
More informationSummary of Benefits. Express Scripts Medicare. Value Choice S5660 & S5983. January 1, 2016 December 31, 2016
Express Scripts Medicare Value Choice (a Medicare prescription drug plan (PDP) offered by Medco Containment Life Insurance Company and Medco Containment Insurance Company of New York (for members located
More informationQ Homeowner Confidence Survey Results. May 20, 2010
Q1 2010 Homeowner Confidence Survey Results May 20, 2010 The Zillow Homeowner Confidence Survey is fielded quarterly to determine the confidence level of American homeowners when it comes to the value
More informationCHAPTER 6. The Economic Contribution of Hospitals
CHAPTER 6 The Economic Contribution of Hospitals Chart 6.1: National Health Expenditures as a Percentage of Gross Domestic Product and Breakdown of National Health Expenditures, 2014 U.S. GDP 2014 $3.03
More informationATHENE Performance Elite Series of Fixed Index Annuities
Rates Effective August 8, 05 ATHE Performance Elite Series of Fixed Index Annuities State Availability Alabama Alaska Arizona Arkansas Product Montana Nebraska Nevada New Hampshire California PE New Jersey
More informationTax Recommendations and Actions in Other States. Joel Michael House Research Department June 9, 2011
Tax Recommendations and Actions in Other States Joel Michael House Research Department June 9, 2011 Governors FY 2012 Recommendations 12 governors recommend net revenue (tax and fee) increases 12 governors
More informationTrends in Alternative Medicaid Coverage Initiatives
1 Trends in Alternative Medicaid Coverage Initiatives April 21, 2015 Jocelyn Guyer, Director Manatt Health Principles Driving Alternative Coverage Initiatives 2 Preserve and strengthen private coverage
More informationMedicaid Reform: Risk-Adjusted Rates Used to Pay Medicaid Reform Health Plans Could Be Used to Pay All Medicaid Capitated Plans
September 2008 Report No. 08-54 Medicaid Reform: Risk-Adjusted Rates Used to Pay Medicaid Reform Health Plans Could Be Used to Pay All Medicaid Capitated Plans at a glance As required by state law, the
More informationWikiLeaks Document Release
WikiLeaks Document Release February 2, 2009 Congressional Research Service Report RS21071 Medicaid Expenditures, FY2003 and FY2004 Karen Tritz, Domestic Social Policy Division January 17, 2006 Abstract.
More informationHOSPITAL INDEMNITY CLAIM FORM
HOSPITAL INDEMNITY CLAIM FORM Please read the important information below: r Please be sure your policy number(s) is/are written on the claim form. r The claim form must be completed and signed by the
More informationTermination Final Pay Requirements
State Involuntary Termination Voluntary Resignation Vacation Payout Requirement Alabama No specific regulations currently exist. No specific regulations currently exist. if the employer s policy provides
More informationMEDICAID: STATE DISPROPORTIONATE SHARE HOSPITAL ALLOTMENT REDUCTIONS FOR FYs 2014 AND 2015 SUMMARY
MEDICAID: STATE DISPROPORTIONATE SHARE HOSPITAL ALLOTMENT REDUCTIONS FOR FYs 2014 AND 2015 SUMMARY On May 15, 2013, the Centers for Medicare & Medicaid Services (CMS) published in the Federal Register
More informationIntroduction... 1 Survey Methodology... 1 Industry Breakouts... 2 Organization Size Breakouts... 3 Geographic Breakouts
Introduction... 1 Survey Methodology... 1 Industry Breakouts... 2 Organization Size Breakouts... 3 Geographic Breakouts... 3... 4... 8 148 282 414 536 662... 8 148 282 414 536 662... 8 148 282 414 536
More informationThe Costs and Benefits of Half a Loaf: The Economic Effects of Recent Regulation of Debit Card Interchange Fees. Robert J. Shapiro
The Costs and Benefits of Half a Loaf: The Economic Effects of Recent Regulation of Debit Card Interchange Fees Robert J. Shapiro October 1, 2013 The Costs and Benefits of Half a Loaf: The Economic Effects
More informationFigure 1. Medicaid Status of Medicare Beneficiaries, Partial Dual Eligibles (1.0 Million) 3% 15% 83% Medicare Beneficiaries = 38.
I S S U E P A P E R kaiser commission on medicaid and the uninsured September 2003 A Prescription Drug Benefit in Medicare: Implications for Medicaid and Low- Income Medicare Beneficiaries A prescription
More informationHEALTH CARE WAIVERS 101 THURSDAY, JULY 28, :00 PM ET/ 3:00 PM CT/2:00 PM MT/ 1:00 PM PT
HEALTH CARE WAIVERS 101 THURSDAY, JULY 28, 2016 4:00 PM ET/ 3:00 PM CT/2:00 PM MT/ 1:00 PM PT Special Thanks This webinar is supported by the Health Resources and Services Administration (HRSA) of the
More informationKey Medicaid Financing Changes in Repeal and Replace Legislation
Key Medicaid Financing Changes in Repeal and Replace Legislation Medicaid and More Alliance for Health Policy July 7, 2017 Overview of Better Care Reconciliation Act (BCRA) Key Changes to Medicaid 2 Like
More informationRequired Training Completion Date. Asset Protection Reciprocity
Completion Alabama Alaska Arizona Arkansas California State Certification: must complete initial 16 hours (8 hrs of general LTC CE and 8 hrs of classroom-only CE specifically on the CA for LTC prior to
More informationState Corporate Income Tax Collections Decline Sharply
Corporate Income Tax Collections Decline Sharply Nicholas W. Jenny and Donald J. Boyd The Rockefeller Institute Fiscal News: Vol. 1, No. 3 July 26, 2001 According to a report from the Congressional Budget
More informationApril 20, and More After That, Center on Budget and Policy Priorities, March 27, First Street NE, Suite 510 Washington, DC 20002
820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org April 20, 2012 WHAT IF CHAIRMAN RYAN S MEDICAID BLOCK GRANT HAD TAKEN EFFECT IN 2001?
More informationMetrics and Measurements for State Pension Plans. November 17, 2016 Greg Mennis
Metrics and Measurements for State Pension Plans November 17, 2016 Greg Mennis Fiscal Sustainability Metrics Net Amortization Measures whether contributions are sufficient to reduce pension debt if plan
More informationState-by-State Estimates of the Coverage and Funding Consequences of Full Repeal of the ACA
H E A L T H P O L I C Y C E N T E R State-by-State Estimates of the Coverage and Funding Consequences of Full Repeal of the ACA Linda J. Blumberg, Matthew Buettgens, John Holahan, and Clare Pan March 2019
More informationAetna Individual Direct Pay Commissions Schedule
Aetna Individual Direct Pay Commissions Schedule Cards Issued Broker Rate Broker Tier Per Year 1st Yr 2nd Yr 3+ Yrs Levels 11-Jan 4.00% 4.00% 3.00% Bronze 24-Dec 6.00% 4.00% 3.00% Silver 25-49 8.00% 4.00%
More informationIf you have any other questions, please feel free to call us at MEDICARE ( ). Sincerely,
Thank you for your recent request for the Patient s Request for Medical Payment form (CMS 1490S). Enclosed is the form, instructions for completing it, and where to return the form for processing. Please
More informationH C B S P R O V I D E R F E E D E V E L O P M E N T
H E A L T H W E A L T H C A R E E R H C B S P R O V I D E R F E E D E V E L O P M E N T M A R K E T - B A S E D A P P R O A C H August 30, 2016 Presenters Deidra Abbott, MPA Misti Beckman Robert Karsten,
More informationAbility-to-Repay Statutes
Ability-to-Repay Statutes FEDERAL ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA STATUTE Truth in Lending, Regulation Z Consumer Credit Secure and Fair Enforcement for Bankers, Brokers, and Loan Originators
More informationMotor Vehicle Sales/Use, Tax Reciprocity and Rate Chart-2005
The following is a Motor Vehicle Sales/Use Tax Reciprocity and Rate Chart which you may find helpful in determining the Sales/Use Tax liability of your customers who either purchase vehicles outside of
More informationPresented by: Louisiana Department of Health Molina Medicaid Solutions
Presented by: Louisiana Department of Health Molina Medicaid Solutions The PERM program is designed to measure improper payments in the Medicaid and CHIP programs. During each PERM Cycle, CMS hosts multiple
More informationPAY STATEMENT REQUIREMENTS
PAY MENT 2017 PAY MENT Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia No generally applicable wage payment law for private employers. Rate
More informationUnderstanding Oregon s Throwback Rule for Apportioning Corporate Income
Understanding Oregon s Throwback Rule for Apportioning Corporate Income Senate Interim Committee on Finance and Revenue January 12, 2018 2 Apportioning Corporate Income Apportionment is a method of dividing
More informationState Resources for Employees Misclassified as Independent Contractors Department for Professional Employees, AFL CIO December 2015
State Resources for Employees Misclassified as Independent Contractors Department for Professional Employees, AFL CIO December 2015 State Relevant Agency Contact Information Online Resources Online Filing
More informationNew Jersey Health Care Quality Institute Medicaid 2.0: 50 State Survey of Publicly Available Medicaid Data
New Jersey Health Care Quality Institute Medicaid 2.0: 50 State Survey of Publicly Available Medicaid Data Introduction As part of Medicaid 2.0 Phase II, which has been generously funded by The Nicholson
More informationFingerprint, Biographical Affidavit and Third-Party Verification Reports Requirements
Updates to the State Specific Information Fingerprint, Biographical Affidavit and Third-Party Verification Reports Requirements State Requirements For Licensure Requirements After Licensure (Non-Domestic)
More informationAccount-based medical plans Summary of Benefits and Coverage supplement
Account-based medical plans Summary of Benefits and Coverage supplement We want you to have tools and resources to help you make informed health care decisions. For each of the medical plans this year,
More informationHealthSpring Prescription Drug Plan (PDP) 2013 Summary of Benefits S5932
HealthSpring Prescription Drug Plan (PDP) 2013 Summary of Benefits S5932 Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii,
More informationNOTICE TO MEMBERS CANADIAN DERIVATIVES CORPORATION CANADIENNE DE. Trading by U.S. Residents
NOTICE TO MEMBERS CANADIAN DERIVATIVES CORPORATION CANADIENNE DE CLEARING CORPORATION COMPENSATION DE PRODUITS DÉRIVÉS NOTICE TO MEMBERS No. 2002-013 January 28, 2002 Trading by U.S. Residents This is
More informationTools for State Transformation: To Waiver or Not?
1 Tools for State Transformation: To Waiver or Not? Prepared for the National Conference of State Legislatures December 8, 2015 By Cindy Mann Agenda 2 Background 1115 Waivers 1332 Waivers & Coordinated
More informationThe table below reflects state minimum wages in effect for 2014, as well as future increases. State Wage Tied to Federal Minimum Wage *
State Minimum Wages The table below reflects state minimum wages in effect for 2014, as well as future increases. Summary: As of Jan. 1, 2014, 21 states and D.C. have minimum wages above the federal minimum
More informationIssue Brief. The Cost of Privatization: Extra Payments to Medicare Advantage Plans 2005 Update
DECEMBER 2004 Issue Brief The Cost of Privatization: Extra Payments to Medicare Advantage Plans 2005 Update Brian Biles, Lauren Hersch Nicholas, and Barbara S. Cooper For more information about this study,
More informationMedicaid and State Budgets: Looking at the Facts Cindy Mann, Joan C. Alker and David Barish October 2007
Medicaid and State Budgets: Looking at the Facts Cindy Mann, Joan C. Alker and David Barish Medicaid covered 60.9 million people in 2006, including 29.5 million children and 5.5 million people over 65.
More informationMedicare Advantage 2018 Data Spotlight: First Look
Medicare Advantage 2018 Data Spotlight: First Look Gretchen Jacobson, Anthony Damico, Tricia Neuman More than 19 million Medicare beneficiaries (33%) are enrolled in Medicare Advantage in 2017, which are
More informationAll Approved Insurance Providers All Risk Management Agency Field Offices All Other Interested Parties
United States Department of Agriculture Farm and Foreign Agricultural Services Risk Management Agency Beacon Facility Mail Stop 0801 P.O. Box 419205 Kansas City, MO 64141-6205 15, 2011 INFORMATIONAL MEMORANDUM:
More informationEBRI Databook on Employee Benefits Chapter 6: Employment-Based Retirement Plan Participation
EBRI Databook on Employee Benefits Chapter 6: Employment-Based Retirement Plan Participation UPDATED July 2014 This chapter looks at the percentage of American workers who work for an employer who sponsors
More informationForecasting State and Local Government Spending: Model Re-estimation. January Equation
Forecasting State and Local Government Spending: Model Re-estimation January 2015 Equation The REMI government spending estimation assumes that the state and local government demand is driven by the regional
More informationPayment Strategies That Enhance Payer Equity, Charge Position, and Yield. Jamie Cleverley, MHA William Cleverley, PhD
Payment Strategies That Enhance Payer Equity, Charge Position, and Yield Jamie Cleverley, MHA William Cleverley, PhD Today s Objectives 1) Evaluate internal and external payer equity to determine if payment
More information2019 Summary of Benefits
Plus Plan Value Plan S7126 2019 Summary of Benefits January 1, 2019 December 31, 2019 This booklet gives you a summary of what Mutual of Omaha Rx SM (PDP) Plus and Value plans cover and what you pay. It
More information2012 RUN Powered by ADP Tax Changes
2012 RUN Powered by ADP Tax Changes Dear Valued ADP Client, Beginning with your first payroll with checks dated in 2012, you and your employees may notice changes in your paychecks due to updated 2012
More informationChapter D State and Local Governments
Chapter D State and Local Governments State and Local Governments contains detailed information on the taxes, revenues, and expenditures of states and localities. The public finances of these two levels
More informationFingerprint and Biographical Affidavit Requirements
Updates to the State-Specific Information Fingerprint and Biographical Affidavit Requirements State Requirements For Licensure Requirements After Licensure (Non-Domestic) Alabama NAIC biographical affidavit
More informationS E C T I O N. Medicare Advantage
S E C T I O N Medicare Advantage Chart 9-1. MA plans available to virtually all Medicare beneficiaries CCPs HMO Any Average plan or local Regional Any MA offerings per PPO PPO CCP PFFS plan county 2009
More informationSupplemental Insurance Claim Form Packet
Supplemental Insurance Claim Form Packet The Chesapeake Life Insurance Company strives to provide easy and accurate claim filing information to our Insured. This packet contains all the required forms
More informationTHE STATE OF THE STATES IN DEVELOPMENTAL DISABILITIES
THE STATE OF THE STATES IN DEVELOPMENTAL DISABILITIES Richard Hemp, Mary Kay Rizzolo, Shea Tanis, & David Braddock Universities of Colorado and Illinois-Chicago REINVENTING QUALITY CONFERENCE BALTIMORE,
More informationELIMINATION OF MEDICARE S WAITING PERIOD FOR SERIOUSLY DISABLED ADULTS: IMPACT ON COVERAGE AND COSTS APPENDIX
ELIMINATION OF MEDICARE S WAITING PERIOD FOR SERIOUSLY DISABLED ADULTS: IMPACT ON COVERAGE AND COSTS APPENDIX ESTIMATING THE FISCAL IMPACTS ON MEDICAID AND MEDICARE FROM ELIMINATING THE WAITING PERIOD:
More informationFAPRI Analysis of Dairy Policy Options for the 2002 Farm Bill Conference
FAPRI Analysis of Dairy Policy Options for the 2002 Farm Bill Conference FAPRI-UMC Report #04-02 April 11, 2002 Food and Agricultural Policy Research Institute University of Missouri 101 South Fifth Street
More informationTable 1: Medicaid and CHIP: December 2016 and January 2017 Preliminary Monthly Enrollment
Table 1: Medicaid and CHIP: December 2016 and January 2017 Preliminary Monthly Enrollment Performance Indicator Information: The Medicaid and CHIP performance indicators were developed in consultation
More informationStatus of CHIP Prospective Payer System Implementation: An Assessment of State CHIP Directors
The traditional provider cost-based reimbursement system for federally-qualified health centers (FQHCs) was replaced with a new prospective payment system (PPS) under The Medicare, Medicaid and SCHIP Benefits
More informationThe 2017 CHP Salary Survey
The 2017 CHP Salary Survey Gary Lauten, CHP, AAHP Niche Analyst Introduction The 2017 certified health physicist (CHP) survey data was collected by having CHPs submit their responses to survey questions
More informationProposed MAC Legislation May Increase Costs Of Affected Generic Drugs By More Than 50 Percent. Prepared for
Proposed MAC Legislation May Increase Costs Of Affected Generic Drugs By More Than 50 Percent Prepared for April 2014 Executive Summary MAC (Maximum Allowable Cost) is a savings tool used by Medicare,
More informationSECTION 109 HOST STATE LOAN-TO-DEPOSIT RATIOS. The Board of Governors of the Federal Reserve System, the Federal Deposit Insurance
SECTION 109 HOST STATE LOAN-TO-DEPOSIT RATIOS The Board of Governors of the Federal Reserve System, the Federal Deposit Insurance Corporation, and the Office of the Comptroller of the Currency (the agencies)
More informationJ.P. Morgan Funds 2018 Distribution Notice
J.P. Morgan Funds 2018 Distribution Notice To assist you in preparing your 2018 Tax returns, we re pleased to provide this distribution notice for your J.P.Morgan Fund investment. If you are unclear about
More informationTable 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment
Table 1: Medicaid and CHIP: March and April 2017 Preliminary Monthly Enrollment Performance Indicator Information: The Medicaid and CHIP performance indicators were developed in consultation with states,
More informationResidual Income Requirements
Residual Income Requirements ytzhxrnmwlzh Ch. 4, 9-e: Item 44, Balance Available for Family Support (04/10/09) Enter the appropriate residual income amount from the following tables in the guideline box.
More informationFederal Registry. NMLS Federal Registry Quarterly Report Quarter I
Federal Registry NMLS Federal Registry Quarterly Report 2012 Quarter I Updated June 6, 2012 Conference of State Bank Supervisors 1129 20 th Street, NW, 9 th Floor Washington, D.C. 20036-4307 NMLS Federal
More informationEvaluation of Data Submitted to American Public Power Association s 2016 Safety Awards of Excellence
Evaluation of Data Submitted to American Public Power Association s 6 Safety Awards of Excellence 6 American Public Power Association s Safety Awards of Excellence Report Page Copyright 6 by the American
More informationProposed MAC Legislation May Increase Costs of Affected Generic Drugs By More Than 50 Percent. Prepared for
Proposed MAC Legislation May Increase Costs of Affected Generic Drugs By More Than 50 Percent Prepared for January 2015 Executive Summary MAC (Maximum Allowable Cost) is a savings tool used by Medicare,
More informationTable 1 - Special Fund Disbursements for FY
Table 1 - Special Fund Disbursements for FY 2018-19 Primary Agency Fund Name Available Agriculture Agricultural Conservation Easement $41,617 Racing 62,995 State College Experimental Farm 0 Attorney General
More informationMapping the geography of retirement savings
of savings A comparative analysis of retirement savings data by state based on information gathered from over 60,000 individuals who have used the VoyaCompareMe online tool. Mapping the geography of retirement
More informationJim Frizzera, Principal Health Management Associates
Jim Frizzera, Principal Health Management Associates Established the Medicaid disproportionate share hospital (DSH) adjustment. Required States to set Medicaid reimbursement rates for hospital inpatient
More informationHOW MANY LOW-INCOME MEDICARE BENEFICIARIES IN EACH STATE WOULD BE DENIED THE MEDICARE PRESCRIPTION DRUG BENEFIT UNDER THE SENATE DRUG BILL?
820 First Street, NE, Suite 510, Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org HOW MANY LOW-INCOME MEDICARE BENEFICIARIES IN EACH STATE WOULD BE DENIED THE MEDICARE
More informationProcedure to Place of Service Policy
Procedure to Place of Service Policy REIMBURSEMENT POLICY Policy Number 2017R7108N Annual Approval Date 3/8/2017 Approved By Reimbursement Policy Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT
More informationAmerican Economics Group Clear and Effective Economic Analysis. American Economics Group
Presentation for: Federation Clear of and Tax Effective Administrators Economic Analysis 9/22/03 Charles W. de Seve, Ph.D. www.americaneconomics.com The Economy is Recovering : The National Economic Setting
More informationKeyCorp Student Loan Trusts Original Pool Characteristics as of the Statistical Cutoff Date Student Loan Trust Summary
Student Loan Trust Summary I KeyCorp Student Loan Trust Date of Closing 11/17/2005 8/12/2004 8/14/2003 9/24/2002 9/14/2001 11/17/2005 8/12/2004 8/14/2003 9/24/2002 9/14/2001 Statistical Cutoff Date 8/1/2005
More information