Before switching from a fully insured group health plan to a self-funded plan, organizations should take several factors into ...

MCMURRAY, Pa.--(BUSINESS WIRE)--Mark Farrah Associates (MFA), www.markfarrah.com, examined trends in membership, claims incurred PMPM (per member per month), adjusted premiums PMPM, and MLRs (Medical ...

Originally published in February 2025, this updated report provides new material on physician practice management (PPM) arrangements, reference-based pricing arrangements, minimum essential coverage ...

ACA open enrollment ends next week. Here is how to assess health insurance alternatives if you're priced out of Affordable Care Act coverage.

Learn how health insurance covers preexisting conditions under the Affordable Care Act, ensuring you get necessary coverage ...

The authors used medical loss ratio forms to assess trends in premiums, medical claims, administrative costs, quality improvement, and margins in the large group insurer market. Objectives: To assess ...

Micro-captives/abusive tax shelters: A micro-captive arrangement is one in which a taxpayer endeavors to reduce aggregate taxable income using a combination of an insurance contract and a captive ...