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THINKBYTE: Final HHS Discrimination Rules to the ACA

THINKBYTE: Final HHS Discrimination Rules to the ACA

Section 1557 forbids discrimination by (a) age, (b) race, (c) sex (including orientation), (d) color, (e) religion or  (f) national origin with respect to benefits, benefit-related programs or eligibility thereof. […]

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Attained Age Adjustment Factors

Attained Age Adjustment Factors

Here is a table that allows the scaling of relative claim dollar totals for attained age bands 0-4, 5-19, 10-14 … 60-64 (source: Chart 6: Inpatient Facility Costs by Age and […]

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2016 Million Dollar Claims: 7.1 per 100,000

2016 Million Dollar Claims: 7.1 per 100,000

The Centers for Medicare & Medicaid Services (CMS) Continuance Tables and the CMS Minimum Value calculator are based on a Mean (Average) Inpatient (IP) value of $1,657 (trended to 2016) and a Standard […]

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