risk HMO

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risk HMO

A health plan in the US which assumes insurance risk and receives a capitated payment for each enrollee, amounting to 95% of the average local payment for traditional Medicare.

Pros
Risk HMOs save money for Medicare, provide expanded benefits, guarantee enrollment, and allow easy disenrollment.
 
Cons
Chronically ill patients may be at a disadvantage; aggressive marketing and inadequate appeals process may harm the unwary consumer.
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KUWAIT, April 22 (KUNA) -- Kuwait State Audit Bureau (SAB) announced Saturday hosting the fourth session of the 11th research project of the Asian Organization of Supreme Audit Institutions (ASOSAI) on Monday, titled "preparation of an audit risk plan.
The most recent rate change for the Assigned Risk Plan was in August 1990 when an 11.
Cash balance plans minimize some risk plan sponsors would have in traditional DBs, but they still need to make sure the interest-crediting rate and assets are in line," Kravitz concludes.
Under the current rules, the pension adjustment (32) in respect of a shared risk plan would likely be a defined-benefit pension adjustment.
If anyone argues about the importance of creating a cyber risk plan, the SEC has already sent over 50 letters to board of director members about their unsatisfactory frameworks," said Gerald Ferguson, CEO of Universal Solutions International.
The case study included the primary results of flood risk plan in Lebanon, funded by UNDP in Lebanon.
Year 2001 saw our first increase in the assigned risk plan rates while experiencing a decrease in the voluntary market," Dan Honey, deputy commissioner of the Arkansas Insurance Department, said.
A county's Medicare managed care penetration is the total number of Medicare risk plan enrollees (HMO, PPO, POS plans) divided by the total number of Medicare beneficiaries in the county for September 2002.
With a reduced risk plan the premium is deductible by the corporation, yet not taxable to the employee, who is assured of receiving disability payments if the corporation should fail.
However unlikely the events which broke Northern Rock were, they were so catastrophic that they should have been at least considered in a risk plan.
Romney wanted high-risk drivers to be randomly assigned to a particular carrier, a so-called assigned risk plan.