July 1 2016
Our e-newsletter for Enterprise Risk Management, Claim Settlement and Healthcare Solutions.
Enterprise Risk Management (ERM)
In the U.S., risk-based capital (RBC) is a method developed by the National Association of Insurance Commissioners (NAIC) to measure the minimum amount of capital that an insurance company needs to support its overall business operations. Can the concepts of RBC work for self-insurers with large, complex risk profiles? To learn more about how RBC concepts are influencing Total Cost of Risk (TCOR) programs, please click here >>
Claim Settlement, Medicare, and Medicare Set Asides
On June 9, 2016, CMS Acting Administrator Andy Slavitt appeared at the Marketplace Innovation Conference and summarized the Health Marketplace initiatives. The emphasis was placed on consumerism shaping the course of future health care. Additionally on June 8, 2016, the Centers for Medicare and Medicaid Services (CMS) announced it is considering expanding its voluntary Medicare Set-Aside (MSA) review process to include the review of proposed liability insurance (including self-insurance) and no-fault insurance MSA amounts. For more information about these important subjects for claim and legal professionals, please click here >>
In a new study from the Centers for Disease Control and Prevention (CDC), recently published in Preventing Chronic Disease: Public Health Research, Practice, and Policy, it was found that there are a number of health-related behaviors that can lower the risk of chronic diseases. For more about how these key factors affect claims and risk costs, please click here >>