Summary
TAMPA, Fla., May 18 /PRNewswire/ -- In a letter to the U.S. Department of Health and Human Services (DHSS), Health Integrated, Inc., a leading provider of Health Management Solutions for health plans, called for the National Association of Insurance Commissioners (NAIC) to include disease management, population health management and case management services, and other programs that improve healthcare quality, in the definition of activities that are evaluated to calculate a health plans' medical loss ratio (MLR). The MLR is a financial metric that reflects a health plans' incurred loss plus the loss adjustment expense to earned premiums.
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Extract
Health Integrated to Uncle Sam: 'Mlr Calculations Should Include Effective Programs That Improve Member Health' ; Health Integrated Submits Comments to Help Inform New Regulations for Determining Health Plan Performance.
Thomas Bendoraitis, chief financial officer of Health Integrated, submitted the letter in response to a government request for comments related to effo...
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