Medical economics: VALUE-BASED CARE AND MEDICAL LOSS RATIO USE IN AN ACCOUNTABLE CARE ORGANIZATION.

Autor: Thakore, Avni, Malhotra, Vikrum, Calma, Maria, Uppal, Gaganjot, Uppal, Arshjote
Zdroj: MGMA Connection; Mar2019, p100-101, 2p
Abstrakt: The article discusses about the use of value based care and medical loss ratio in an accountable care organization. Topics of discussion includes Affordable Care Act (ACA) created federal minimum medical loss ratios (MLRs) for all insurers, The law directed the National Association of Insurance Commissioners (NAIC) to create the formula for determining MLR and insurers need to calculate this key performance indicator (KPI) and report the MLR annually to the NAIC.
Databáze: Supplemental Index