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Tag Archives: affordable care act

Leveraging Utilization Management to Reduce Medical Loss Ratio Rebates

Blog Posts, Compliance & RegulationBy Debbie Hill, MSN, RNMarch 18, 2020

Medical loss ratio (MLR) rebates hit a record $1.3 billion in 2019 because health plans spent too little on medical claims and too much on administrative costs. How can health…

Healthcare 2020: The Only Certainty Is Uncertainty

Blog Posts, Featured, Smart + Digital SolutionsBy Jane Sarasohn-Kahn, MA, MHSAJanuary 9, 2020

The future is uncertain—even with 2020 vision. Jane Sarasohn-Kahn shares key uncertainties about politics, economics, technology and social factors that healthcare stakeholders should keep in mind when planning for the…

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