Beginning in January, health insurers must spend at least 85% of premiums on medical costs in group coverage plans, and at least 80% in individual plans...known as the medical loss ratio. While waiting for final CMS determination on what will constitute medical costs versus administrative costs, the industry has begun preparing for these MLR regulations.
Listen to pre-conference comments from John Steele.
During Minimum Medical Loss Ratios: How Health Plans Should Prepare for the January Compliance Requirements, a 60-minute webinar now available as a CD-ROM, via On Demand Web access or as a training DVD, John Steele and Steve Young, both managing directors, HealthScape Advisors, provided an in-depth analysis of what health plans must do now to comply with the January deadline for minimum medical loss ratios and how this might impact health plans operationally and financially.
You will get details on:
- How to mitigate financial and operational MLR requirement impacts;
- The requirements that will impact competitive positioning;
- How to create auditable and supportable MLR filings;
- How to implement the requirements in a compressed time frame;
- The actions each health plan should consider;
- Strategies to minimize impact;
- and other issues related to the MLR requirements, including a diversification strategy for different products and markets, medical loss ratio reporting and accounting and consumer and purchaser perceptions of medical loss ratios.
Have questions on our webinar and/or webinar formats? Visit our webinar FAQ.
You can listen to this program right in your office and enjoy significant savings – no travel time or hassle; no hotel expenses. It’s so convenient! Invite your staff members to gather around a conference table to listen to the CD, DVD or the On Demand version.
WHO WILL BENEFIT FROM THIS CONFERENCE?
CEOs, presidents, CFOs, medical directors, health plan executives, physician executives, hospital executives and business development and strategic planning directors.
ABOUT OUR PANELISTS:
||CMS's definition of medical cost will likely coalesce around five key areas of healthcare quality improvement.
John Steele, managing director at HealthScape Advisors, L.L.C., has been advising healthcare clients for nearly 15 years on business growth, profitability improvement and risk mitigation assignments.
HealthScape Advisors is comprised of experienced healthcare industry experts. The managing directors and employees assist organizations in both navigating the changing healthcare landscape and transforming their businesses to deliver sustainable market value.
Steele began his consulting career at Arthur Andersen, and went on to become managing director at a publicly traded consulting company until he departed to co-found HealthScape Advisors.
Recently, Steele has been assisting clients with the implications of health reform with a specific emphasis on Medical Loss Ratios. He has published articles in both AHIP Coverage and Modern Healthcare Executive and is a speaker on industry issues.
Steele earned a Master in Business Administration from the University of Chicago with a concentration in Strategic Management and Finance. He also received a Bachelor of Arts in Finance from University of Illinois Champaign-Urbana.
Steve Young, managing director at HealthScape Advisors, L.L.C., has focused his career over the past 20 years
advising clients in various segments within the healthcare industry with particular focus on managed care, pharmaceuticals and
HealthScape Advisors is comprised of experienced healthcare industry experts. The managing directors and employees
assist organizations in both navigating the changing healthcare landscape and transforming their businesses to deliver
sustainable market value.
Young began his career at Arthur Andersen where he became partner in 1995. In 2002, he became a founding managing
director of a large consultancy leading the company's efforts for health plan and pharmaceutical industry segments where he
worked until he departed to co-found HealthScape Advisors.
Young earned his Bachelor of Arts in Accounting from Northern Illinois University and is a licensed Certified Public
Accountant in the state of Illinois.