Managed Care

 

This year, more of the premium dollar goes to medical care

MANAGED CARE July 1996. © MediMedia USA
Managed Care Outlook

This year, more of the premium dollar goes to medical care

MANAGED CARE July 1996. ©1996 Stezzi Communications

Experts caution that it may not indicate a sustained trend. But for what it's worth, as 1996 dawned, the nation's publicly traded HMOs were spending more of their premium dollar on medical care and less on administration than they had been spending a year earlier. That's the import of data on "medical loss ratios," the proportion of total medical expenses to total revenue, for 21 of the 22 publicly traded plans; figures weren't available for the remaining HMO. Also, the once-hot HMO sector has turned in a much weaker performance so far this year than the stock market as a whole.

Mean medical loss ratios at year-end, 1993, 1994 and 1995
Median medical loss ratios at year-end, 1993, 1994 and 1995

SOURCE: Pulse Newsletter,SHERLOCK CO., GWYNEDD, PA.

Meetings

4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015