Tag Archives: MLR

Evaluating effectiveness of your organization against best practices for risk adjustment and quality programs

Whether it’s to reduce medical loss ratios or improve competitive positioning with more affordable products, health plans are under increasing pressure to reduce medical expenses through population health management. Where do you start when it’s difficult to identify and prioritize areas of opportunity that will have the greatest impact? A critical first step is to […]
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Leveraging benchmarks to target best opportunities for improving medical cost management

Health plans and risk-bearing providers are under increasing pressure to explore business models that allow for the reduction of medical loss ratios (MLRs), strengthen clinical performance and enhance relationships with providers. New forces at the local, state and federal levels are requiring plans to rethink their business models and identify new approaches to growth, and […]
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