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.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.
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The establishment of the Florida Workers Compensation Joint Underwriting Association was a major accomplishment in the state given the crippling workers' comp environment under the old Assigned Risk Plan approach.
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." A press statement by SAB member who is participating in the meeting, Talal Al-Wehaib, said professional researches help in developing the auditors' capabilities.
* Don Spharler, president of IA Inc., an insurance and risk service company associated with First Arkansas Insurance-Pine Bluff and a past president of the Independent Insurance Agents of Arkansas, where he once co-chaired the IIAA Workers Compensation Special Market Committee and worked for changes in the Arkansas workers' compensation law and the Arkansas Workers Compensation Assigned Risk Plan.
"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.
"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.
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.
A risk management program can exercise this kind of flexibility by using components of the organization's risk plan in more intense ways.
REDUCED RISK PLAN. Under the reduced risk plan, the corporation shifts a part of its liability to an insurance company.
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. The task force endorsed the concept of the assigned risk plan, which Mr.