Managed Care

 

California: Where the premium dollar goes

MANAGED CARE May 1998. © MediMedia USA
State Initiatives

California: Where the premium dollar goes

MANAGED CARE May 1998. ©1998 Stezzi Communications

A California Medical Association study suggests that not-for-profit health plans in the state generally spend more money on medical expenses than their for-profit counterparts do. Not-for-profits broke even, on average, during fiscal 1996 — 97, while for-profits pocketed small gains. Among California health insurers and managed care companies with 50,000 or more enrollees, Kaiser Foundation Health Plan spent the greatest portion of each premium dollar on medical care — for the fifth year in a row.

Medical loss ratios

Top and bottom four plans with 50,000 or more members, by percentage of revenue spent on medical care

SOURCE: KNOX-KEENE HEALTH PLAN EXPENDITURES SUMMARY, CALIFORNIA MEDICAL ASSOCIATION, SAN FRANCISCO, 1998

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