[actuary2022]

thanks a lot .. It was helpful…

 

just want to check project 2 Task 1… How much you got under Cap and FFS PMPM? Because it is below incurred claim  400 PMPM? In the group they compared PMPY under cap with trended PMPM to find PMPM break even

[actuary2022]

I have started it today.

What I am doing is that I started with current plan designs; I explained some of the key issues in the design.

We are given some of the manual rates; the current plan is PPO1 ( based on the cost sharing) and EPO1. The experience under PPO is 701 but under the EPO is lower than manual rate.

 

[actuary2022]

Hi All,

 

Anyone is working in the module?

 

Thanks,

[Author]

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