MLR

2022 Medical Loss Ratio and Rebates Results by Mark Farrah Associates

Retrieved on: 
Wednesday, March 13, 2024
White House, Federal Government, Health Insurance, Insurance, Finance, Healthcare Reform, Banking, Professional Services, Women, Seniors, Hospitals, Public Policy, Government, Men, Consumer, Data Analytics, Health, ACA, Small group, Ratio, Communes of Burundi, MLR, HHS, Growth, Health insurance

In the latest Healthcare Business Strategy report, Mark Farrah Associates, www.markfarrah.com , summarized key findings from the 2022 MLR report released by the Department of Health and Human Services (HHS).

Key Points: 
  • In the latest Healthcare Business Strategy report, Mark Farrah Associates, www.markfarrah.com , summarized key findings from the 2022 MLR report released by the Department of Health and Human Services (HHS).
  • This brief focused on health plan performance as it relates to the 2022 Medical Loss Ratio, and the related rebates subsequently due to consumers.
  • In 2022, rebates to consumers have dropped slightly to $947 million, benefiting 5.8 million customers, equating to approximately $164 per beneficiary.
  • 2022 MLR rebates paid for the Individual segment were $332 million, which is .34% of the $97.7 billion collected in premiums.

Trilliant Health Launches Network Explorer: An Application To Improve Network Performance With Real-World Data

Retrieved on: 
Wednesday, February 21, 2024
Apps, Applications, Technology, Health Technology, Software, Networks, Other Health, Internet, General Health, Health, Data Management, Physician, Data, Exploration, Directory, Trilliant cut, Network, Multimedia, MLR, Nursing

Trilliant Health, the leading provider of data-driven strategy analytics for the health economy, announced the launch of Network Explorer , an application to manage network performance.

Key Points: 
  • Trilliant Health, the leading provider of data-driven strategy analytics for the health economy, announced the launch of Network Explorer , an application to manage network performance.
  • (Photo: Business Wire)
    “Every physician-patient interaction affects the network performance of every health economy stakeholder, whether they know it or not,” said Hal Andrews, Chief Executive Officer for Trilliant Health.
  • With Network Explorer, users can:
    Improve Network Alignment: Track referrals inside and outside a network to identify misalignment with in-network providers.
  • Identify Network Gaps: Analyze how network alignment differs across specialties, procedure subtypes and health plans to inform growth strategies.

MILLER INDUSTRIES TO ANNOUNCE FOURTH QUARTER AND FULL YEAR 2023 RESULTS ON WEDNESDAY MARCH 6, 2024

Retrieved on: 
Wednesday, February 28, 2024
Miller Industries, Internet, MLR

CHATTANOOGA, Tenn., Feb. 28, 2024 /PRNewswire/ -- Miller Industries, Inc. (NYSE: MLR) intends to release its results for the Fourth Quarter and Full Year ended December 31, 2023, on Wednesday, March 6, 2024, after market close.

Key Points: 
  • CHATTANOOGA, Tenn., Feb. 28, 2024 /PRNewswire/ -- Miller Industries, Inc. (NYSE: MLR) intends to release its results for the Fourth Quarter and Full Year ended December 31, 2023, on Wednesday, March 6, 2024, after market close.
  • The Company will host a conference call the following day that will be simultaneously broadcast live over the Internet:

Oscar Health Announces Strong Results for Fourth Quarter and Full Year 2023; Introduces Full Year 2024 Outlook Including Total Company Adjusted EBITDA Profitability

Retrieved on: 
Wednesday, February 7, 2024
Professional Services, Health, Health Technology, Insurance, Health Insurance, Managed Care, MLR, Security (finance), Growth, Health care, Table, GAAP, Failure, Adjustment, Annual report, Care Act 2014, Ratio, Administration, Physician, Depreciation, Affordable Care Act, Webcast, Revenue, Total revenue, Hospital, Risk management

Medical loss ratio (MLR) is total medical expenses incurred less any member cost sharing as a percentage of premiums before ceded reinsurance.

Key Points: 
  • Medical loss ratio (MLR) is total medical expenses incurred less any member cost sharing as a percentage of premiums before ceded reinsurance.
  • The Selling, General, and Administrative (SG&A) Expense ratio is calculated as selling, general and administrative expenses as a percentage of Total Revenue.
  • We believe the SG&A Expense ratio is useful to evaluate our ability to manage our overall selling, general, and administrative cost base.
  • Oscar will host a conference call to discuss the financial results today, February 7, 2024, at 5:00 p.m. (ET).

MILLER INDUSTRIES REPORTS PRELIMINARY FOURTH QUARTER AND FULL YEAR 2023 RESULTS

Retrieved on: 
Tuesday, February 6, 2024
MLR, Growth, Internet, Miller Industries, Video game

CHATTANOOGA, Tenn., Feb. 6, 2024 /PRNewswire/ -- Miller Industries, Inc. (NYSE: MLR) ("Miller Industries" or the "Company") today announced preliminary financial results for the Fourth Quarter and Full Year ended December 31, 2023, ahead of upcoming meetings with investors.

Key Points: 
  • CHATTANOOGA, Tenn., Feb. 6, 2024 /PRNewswire/ -- Miller Industries, Inc. (NYSE: MLR) ("Miller Industries" or the "Company") today announced preliminary financial results for the Fourth Quarter and Full Year ended December 31, 2023, ahead of upcoming meetings with investors.
  • Based on currently available information, the Company estimates the following results for the quarter and fiscal year ended December 31, 2023.
  • These estimated ranges of financial results are based on the Company's preliminary financial statements for the Fourth Quarter and Full Year 2023.
  • Miller Industries intends to release its full financial results for the Fourth Quarter and Full Year 2023 on Wednesday, March 6, 2024, after market close.

Pitney Bowes Announces Continued Refreshment of its Board of Directors

Retrieved on: 
Wednesday, January 31, 2024
Engineering, Chemicals, Plastics, Logistics, Supply Chain Management, Transport, Manufacturing, Other Manufacturing, Other Transport, MLR, Hanesbrands, GM, COVID-19, WMT, General counsel, Kohlberg Kravis Roberts, DRI, DEO, Darden Restaurants, Hestia, Brinker International, GME, General Motors, Miller Industries, Florida Department, Cadbury, United Natural Foods, Ohio State University, Corporation, Pitney Bowes, SuperValu, Health administration, Acquisition, Trust, Annual general meeting, KKR, UNFI, Professional services, Management

“It has been a privilege to lead the Board of Pitney Bowes, a storied business with a more than 100-year history of change and innovation.

Key Points: 
  • “It has been a privilege to lead the Board of Pitney Bowes, a storied business with a more than 100-year history of change and innovation.
  • I look forward to working with management and the rest of the Board, including our newest members, to build on this momentum between now and the Annual Meeting.
  • Mr. Simon is an experienced public company director and former executive, with skills and perspectives that will be additive to Pitney Bowes’ Board.
  • Ms. Sutton is a public company director and former executive with extensive experience that will be additive to Pitney Bowes’ Board.

Swoop Launches AI-Powered Conversational Agent for Healthcare Marketing, Revolutionizing Engagement on brand.com

Retrieved on: 
Monday, January 8, 2024
Practice Management, Pharmaceutical, Health, Marketing, Artificial Intelligence, Communications, Hospitals, Technology, Patient, COVID-19, Physician, Conversation, HCP, Customer, MLR, Privacy, DTC, Safety, Medical device

Swoop , a leader in developing precise direct to consumer (DTC) and healthcare provider (HCP) audiences for pharmaceutical and life sciences brands, today announced the launch of its AI-powered conversational agent.

Key Points: 
  • Swoop , a leader in developing precise direct to consumer (DTC) and healthcare provider (HCP) audiences for pharmaceutical and life sciences brands, today announced the launch of its AI-powered conversational agent.
  • This groundbreaking advancement in healthcare marketing sets a new standard for lower funnel engagement, enabling immediate, MLR-compliant virtual customer interactions via brand.com.
  • Scalable to Client Demands: Whether for a single brand, therapeutic area or product portfolio, Swoop conversational AI agents can scale with the needs of healthcare marketers from new product launches to covering open territories and unsupported brands.
  • For more information about Swoop’s AI-powered conversational agent, visit www.swoop.com .

Sagility Introduces Utilization Management as a Service to Improve Prior Authorization, Mitigate Costs

Retrieved on: 
Thursday, December 14, 2023
General Health, Other Health, Health, Practice Management, Health Insurance, Medicare Advantage, Pressure, UM, Senior, Commercial, Utilization management, URAC, BPM, UMAA, Ratio, CMS, Pain, Medicare, NPS, Endoscopy, MLR, Overalls, Health insurance, Medical device, Nursing, Medicaid, Sagil

Utilization management (UM) and prior authorization, which is the most commonly practiced form of utilization management, are both highly regulated, and health plans can face high penalties and fines when they are out of compliance.

Key Points: 
  • Utilization management (UM) and prior authorization, which is the most commonly practiced form of utilization management, are both highly regulated, and health plans can face high penalties and fines when they are out of compliance.
  • The existing U.S. nursing shortage is one factor exacerbating the pain for payers who struggle to render decisions in a timely manner.
  • In late 2022, CMS proposed a mandate that requires payers to turn around cases faster, as well as provide real-time decisions.
  • Sagility serves Commercial, Medicare Advantage, Medicaid, children’s health plans, and qualified health plans in all 50 states.

Health Plans Project 2024 Premium Growth of 8.0% for Group Fully-Insured Plans and 6.1% for Individual Plans

Retrieved on: 
Thursday, November 30, 2023
Insurance, Professional Services, Growth, Medicare, Medicaid, PULSE, MLR, Financial management, Health insurance, Individual

Health plans are expecting 2024 premiums to increase by 8.0% for Group fully-insured plans and by 6.1% for Individual plans.

Key Points: 
  • Health plans are expecting 2024 premiums to increase by 8.0% for Group fully-insured plans and by 6.1% for Individual plans.
  • For Individual plans, growth expectations are lower by 0.5 percentage points.
  • After the effect of buy-downs, plans anticipate premium increases for Group plans of 7.3% and 5.3% for Individual plans.
  • For plans participating in this survey, we infer their projected medical cost increases of 6.6% for Group plans and 7.0% for Individual plans.

As Second Major League Rugby Team Folds, Players Want Answers - USRPA Seeks Transparency & Communication for Stability in the MLR

Retrieved on: 
Thursday, December 7, 2023
Safety, Toronto Arrows, Risk, Major League Rugby, Civetta, Partnership, Housing, NLRB, Retirement, MLR, News, Players, Sport

CHICAGO, Dec. 7, 2023 /PRNewswire-PRWeb/ -- With contracts signed and flights booked, players ask Major League Rugby how funding was not secured for a new season only weeks away from players reporting for preseason.

Key Points: 
  • With contracts signed and flights booked, players ask Major League Rugby how funding was not secured for a new season only weeks away from players reporting for preseason.
  • CHICAGO, Dec. 7, 2023 /PRNewswire-PRWeb/ -- With contracts signed and flights booked, players ask Major League Rugby how funding was not secured for a new season only weeks away from players reporting for preseason.
  • The latest setbacks underscore the need for players to be involved as true stakeholders if the league is to succeed.
  • "It's time for the league to prioritize treating its players better and have more open and honest conversations.