Ask the insurance carrier for the average number of prescriptions per enrollee
A questionnaire, a cover letter signed by the network medical director of the capitated plan, and a prepaid return envelope were mailed to the home address of each selected enrollee
, directed to the person in the household who made most of the health insurance decisions.
GuideWell could collect $45 per individual major medical enrollee
for the risk-adjustment program for 2016.
Paying extra cash to insurers who have enrollees
with expensive health problems.
The existing Medicare Advantage uniformity requirement generally requires that an MA plans benefits and cost sharing be the same for all plan enrollees
The private organizations that run Medicare Advantage plans are supposed to avoid using premium rates, plan features, or other underwriting techniques to "cherry pick," or attract healthier enrollees
and repel enrollees
with health problems.
To address possible unobserved differences between recent and established enrollees
, models are estimated just with recent enrollees
who stay enrolled in the program for at least 5 months and we subset the established enrollee
sample to those who were enrolled in SCHIP closer to the time period during which children in the recent enrollee
sample were entering SCHIP.
The potential for undercounting may be caused by one or more of several factors: (1) the record for a dual enrollee
may have been missing from either the EDB or the MAX file, (2) SSN may have been missing in the MAX file, or (3) there may have been errors or number transpositions in the recorded SSN.
About 81% of Medicare fee-for-service enrollees
now use some kind of public or private arrangement to cap their maximum out-of-pocket spending, and to cope with ordinary deductible, co-payment and coinsurance bills, according to GAO analysts.
These programs have been successful in allowing innovative approaches that give Medicare enrollees
options that best fit their individual health needs.
HIFA targeted individuals with incomes below 200 percent of the federal poverty level and allowed states to subsidize private health insurance premiums for either SCHIP or Medicaid enrollees
New/Late alternatively reflects whether the child was a new enrollee
, or in separate regressions, whether he or she was enrolled after a lapse in enrollment.
Officials at the Centers for Medicare & Medicaid Services (CMS) mention the agency's enrollee
survey data release schedule in a new QHP enrollee
survey website established at https://qhpcahps.
To what extent are Medicaid enrollee
cross-state moves associated with gaps in enrollment?
Table 1 Medicaid Payments for Dually and Non-Dually Eligible Enrollees
: Federal Fiscal Year 2002 Enrollee
Dually Non-Dually Comparison Eligible Eligible Total Overall Total Payments (in Billions) $86.