Ask the insurance carrier for the average number of prescriptions per
enrollee per year.
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 (Zabaza 2003).
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.
