Feature

The Changing Face of Healthcare: Understanding the Medical Loss Ratio

The Changing Face of Healthcare: Understanding the Medical Loss Ratio

Arthur Tacchino, J.D.

The Affordable Care Act created a new regulation designed to bring down the cost of healthcare through the use of a new medical loss ratio standard.

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Darwinism Effect – Survival of the Fittest for Employee Benefits Consultants

Darwinism Effect – Survival of the Fittest for Employee Benefits Consultants

David Goldfarb

PPACA (Patient Protection and Affordable Care Act), known by most in and out of the industry as “ObamaCare” is no longer something that agents can hope will not happen --- it is here, it has begun, and it is reality.

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The What, Why and How of Medical Loss Ratio

The What, Why and How of Medical Loss Ratio

Deepak Padmanabhan

On November 22, 2010, The Department of Health and Human Services (HHS) released the interim final regulation (IFR) regarding medical loss ratio (MLR) implementation for health insurance issuers.

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A ‘Boon’ for Consumers May be ‘Bane’ for Brokers & Producers NAIC Adopts Medical Loss Ratio Model Regulation

A ‘Boon’ for Consumers May be ‘Bane’ for Brokers & Producers NAIC Adopts Medical Loss Ratio Model Regulation

John Ryan

On Oct. 21, the National Association of Insurance Commissioners (NAIC) adopted a model regulation concerning the calculation of medical loss ratios (MLR) under the Patient Protection and Affordable Care Act (PPACA).

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News and Updates

Health Care Reform and the Role of Wellness and Prevention

Health Care Reform and the Role of Wellness and Prevention

Kevin Wildenhaus, Ph.D.

In 1735, Benjamin Franklin published a letter in The Pennsylvania Gazette, offering his now famous axiom,

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ACO – Panacea or Placebo?

ACO – Panacea or Placebo?

Mark Troutman

It’s important to be held accountable for results.

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Learn the Ins and Outs of Healthcare Reform, Because it’s Here to Stay!

Learn the Ins and Outs of Healthcare Reform, Because it’s Here to Stay!

Andrea Balogh

Some of you may be thinking, “Democrats lost control of the House, so I can stop worrying about healthcare reform, it will be repealed.”

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Medical Discount Network, a Viable Alternative

Medical Discount Network, a Viable Alternative

Barbara Lewis

Obamacare is a frightening word for employers and many Americans.

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Economics

PHARMA REFORM AND WORLD TRADE

PHARMA REFORM AND WORLD TRADE

Melvin J. Howard

here is an industry that in the past has been more profitable than the commercial banking sector.

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 AFFORDABLE HEALTH BENEFITS - A Thing of the Past?

AFFORDABLE HEALTH BENEFITS - A Thing of the Past?

Richard Fuchs

In today’s radically changing healthcare industry, individuals and small employers have an almost impossible task of securing affordable healthcare.

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ICD-10 Benefits for Healthcare Providers

ICD-10 Benefits for Healthcare Providers

Manish Nachnani

ICD-10 brings several benefit opportunities for healthcare providers across multiple categories which include Reimbursement,

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Business

Top must-haves in your EMR budget and ways to finance them

Top must-haves in your EMR budget and ways to finance them

Renee Flis

If you’re like many, chances are you are either 1) building a roadmap for EMR or 2) satisfied with pilot results and wondering how to accelerate rollout in 2011.

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Healthcare Reform Starts With You

Healthcare Reform Starts With You

Theresa Healy, RN

Enough of the rhetoric. It’s time to cut to the chase and talk about how reform starts with you.

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Editorial

Musings of an Old World doctor about the New World healthcare marketplace.

Musings of an Old World doctor about the New World healthcare marketplace.

Tony Dale

“Let the thief no longer steal, but rather let him work with his hands, so that your daily life wins the respect of others and so that you will not be dependent on anybody.

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