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Session 014: Impact of Quality Improvement Activities on Medical Loss Ratio

Session 014: Impact of Quality Improvement Activities on Medical Loss Ratio Intended for actuaries interested in understanding more about the Medical Loss Ratio and the impact Quality Improving ...
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Description: Intended for actuaries interested in understanding more about the Medical Loss Ratio and the impact Quality Improving Activities (QIA) and fraud reduction expenses have on the rebate calculation. This session will focus on what expenses qualifies as QIA, examples of programs from major carriers, current regulations and the differences between commercial, and Medicare, and Medicaid requirements.
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- Authors: Scott O'Neil Jones, Michael McLaughlin , Jean Bernardi , Rand Sean Gingery
- Date: May 2019
- Competency: External Forces & Industry Knowledge
- Topics: Financial Reporting & Accounting>Statutory accounting; Health & Disability>Health insurance

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Session 014: Impact of Quality Improvement Activities on Medical Loss Ratio