Merlinos consultants Dorothy Andrews and Soojin Jang will be part of a panel discussion at the 2016 Society of Actuaries (SOA) Health Meeting in Philadelphia, June 15-17. Their session will be geared towards those that haven’t had much exposure to behavioral economics, or those that haven’t thought about it much in the recent years, geared to help people see the … Continue reading Merlinos Consultants to Speak at 2016 SOA Health Meeting
Self-insured group medical plans are very prevalent and have served plan sponsors well in many respects. However, plan sponsors have experienced increases in per capita medical costs that greatly exceed the Consumer Price Index for all urban consumers (CPI-U) for many years. The vast majority of self-insured group medical plans in-force in 2013 utilize a … Continue reading Medicare Cost Plus: Yes or No?
A bill was recently introduced in the U.S. Senate that would give employer until 2016 to comply with a health care reform law provision requiring them to offer coverage to full-time employees or pay a fine. The measure, S. 1330, which was proposed by Senator Mark Begich, D-Alaska, follows a one-year delay announced earlier this … Continue reading Should The PPACA Employer Mandate Be Delayed?
The Centers for Medicare & Medicaid Services (CMS) has released a Funding Opportunity Announcement for round two of the Health Care Innovation Awards. Under this announcement, CMS will spend up to $1 billion for awards and evaluation of projects from across the country that test new payment and service delivery models that will deliver better … Continue reading CMS Health Care Innovation Awards
The US Department of Health & Human Services has recently clarified the employer requirements with respect to offering group medical coverage in 2014. While a $2,000 per employee penalty (all employees less 30) still applies for employers with at least 50 FTE’s who do not offer any type of group medical coverage, employers have some … Continue reading Understanding the PPACA Employer Mandate and Associated Penalties
M&A consultant Michael Berman will be attending the American Academy of Actuaries’ Life and Health Qualifications Seminar in Arlington, Virginia, November 12-15. The Seminar provides education that may not have been provided as part of the SOA examination process or acquired through subsequent testing or alternative education. If you are going to be in Arlington, let … Continue reading Merlinos to Attend Life and Health Qualifications Seminar
M&A’s Mark Brannon will be attending Society of Actuaries (SOA) meetings in New Orleans June 12-15. Medical School for Actuaries, June 12 Medical school for actuaries will address a key piece of feedback gleaned from the SOA’s untapped opportunities market research: Actuaries can better compete with other health care professionals when they enhance their health … Continue reading M&A Attends Society of Actuaries Meetings in New Orleans
Our consultants will be busy this summer attending several industry conferences and meetings. Florida Hurricane Catastrophe Fund Participating Insurer WorkshopOrlandoMay 15-16 South Carolina Department of Insurance Public Input SessionMyrtle BeachJune 7 Society of Actuaries Medical School for ActuariesNew OrleansJune 12 Society of Actuaries Health MeetingNew OrleansJune 13-15 Florida Office of Insurance Regulation 2012 Industry ConferenceTallahasseeJune … Continue reading A Busy Summer Attending Meetings and Conferences
M&A consultant Kirk Braunius will be attending the Society of Actuaries Health Pricing Boot Camp in Nashville, November 7-8. This program will examine pricing methods and approaches and to gain further education in the area of health insurance pricing. If you are going to be in Nashville, let us know — Kirk would like to … Continue reading Kirk Braunius to Attend Health Insurance Pricing Boot Camp
The U.S. House of Representatives passed the Health Insurance Industry Fair Compensation Act by a margin of 406-19. This act would remove the antitrust exemption currently provided to the health insurance industry under the McCarran-Ferguson Act of 1945. However, the version of the act passed by the House allows the medical professional liability insurance industry … Continue reading U.S. House repeals antitrust exemption for health insurance, excludes medical professional liability insurance