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  #11  
Old 03-18-2020, 12:35 PM
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Health

Valuation is going to be an interesting exercise over the next year.

Provider contracting will get a lot of scrutiny.

The current situation underlines why block grants for Medicaid is a really bad idea.
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  #12  
Old 03-18-2020, 01:23 PM
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Annuities to boom, Life Ins to stop (high mortality uncertainty)?
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  #13  
Old 03-18-2020, 01:45 PM
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Provider risk deals with no cap (full downside) will be brutal on systems that aren't well capitalized
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  #14  
Old 03-18-2020, 01:57 PM
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additional medmal potential:

NY has a "reserve" of doctors and nurses, mostly retired folks. Cuomo is considering activating that reserve. Will they be covered by hospitals' captives/insurers? state guarantee fund?

Nursing homes. if a Nursing home affected by COVID, and multipe deaths occurr.

then I'm sure this last one affects more than just med mal. But phyisicians are seeing less patients and therefore less billing, and are crying poor in terms of paying their premiums.
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Old 03-18-2020, 02:58 PM
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Originally Posted by llcooljabe View Post
additional medmal potential:

NY has a "reserve" of doctors and nurses, mostly retired folks. Cuomo is considering activating that reserve. Will they be covered by hospitals' captives/insurers? state guarantee fund?

Nursing homes. if a Nursing home affected by COVID, and multipe deaths occurr.

then I'm sure this last one affects more than just med mal. But phyisicians are seeing less patients and therefore less billing, and are crying poor in terms of paying their premiums.
docs coming out of retirement for the reserves...their tail policies from when they were active should not cover that. (theoretcically possible some don't have such a policy). Would have to somehow be under employed physicians coverage? (who is employing them?)

no money to pay premium will be an all-LOB issue.
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  #16  
Old 03-18-2020, 03:43 PM
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Originally Posted by tommie frazier View Post
docs coming out of retirement for the reserves...their tail policies from when they were active should not cover that. (theoretcically possible some don't have such a policy). Would have to somehow be under employed physicians coverage? (who is employing them?)

no money to pay premium will be an all-LOB issue.
NY tail (if issued by an admitted carrier) is unique in that it's lifetime. Many other RRGs only have limited tail (e.g. 5 years).

Even still, tail won't cover, because the tail covers you for actions occurring between retro date and inception of tail.
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Old 03-19-2020, 02:31 PM
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NAIC having special session tomorrow

https://content.naic.org/article/not...march_20th.htm

agenda:
Quote:
PROGRAM
11:00 a.m. ET Welcome and Introductions—Director Ray Farmer (SC)
11:10 a.m. ET Presentationon Virus Progression and Pathology
− Dr. Jay Butler, Deputy Director for Infectious Disease, Centers for
Disease Control and Prevention (CDC)
11:30 a.m. ET Presentationon Pandemic Modeling
− Matt Nielsen, Senior Director, Governmental & Regulatory Affairs,
Risk Management Solutions (RMS)
− Maria Lomelo, Director of Product Management, RMS
− Brice Jabo, Medical Epidemiologist, RMS
11:50 a.m. ET Discussion on Impact on Health Insurance Market
− Randy Pate, CMS Deputy Administrator and Director,Center for Consumer
Information and Insurance Oversight(CCIIO)
− Troy Oechsner,Partner, Manatt Health
12:15 p.m. ET Presentation and Discussion on Financial Impact/Policy Coverage Issues
− Commissioner Scott White (VA), NAIC Financial Condition (E) Committee
Chair
− Sean Kevelighan, President & CEO, Insurance Information Institute (III)
− Michel Leonard, Vice President and Senior Economist, III
12:45 p.m. ET Panel Discussion: Insurer Readiness& Consumer Issues
− Susan K. Neely, President & Chief Executive Officer, American Council of
Life Insurers (ACLI)
− Matt Eyles, President & Chief Executive Officer, America’s HealthInsurance
Plans (AHIP)
− Dr. David Sampson, President & Chief Executive Officer, American Property
Casualty Insurance Association (APCIA)
− Sarah Lueck, NAIC Consumer Representative and Senior Policy Analyst,
Center on Budget and Policy Priorities
1:15 p.m. ET States’Health Insurance MarketResponse
—Commissioner Jessica K. Altman (PA), NAIC Health Insurance and Managed
Care (B) Committee Chair
1:35 p.m. ET Closing Remarks—Director Ray Farmer (SC)
1:40 p.m. ET Adjourn
NAIC brief:
https://content.naic.org/article/not..._insurance.htm
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  #18  
Old 03-20-2020, 12:19 PM
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Health

I keep hearing Trump state that copays and deductibles waived for Covid-19 related claims. So will the govt be reimbursing health insurance plans for such?
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Old 03-20-2020, 12:35 PM
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Health

I keep hearing Trump state that copays and deductibles waived for Covid-19 related claims. So will the govt be reimbursing health insurance plans for such?
It could be a misstatement. My carrier (and the others I've heard doing this) are waiving the out-of-pocket costs for COVID-19 testing. Any prescriptions or other treatments for COVID-19 cases are still subject to normal copays and deductibles.
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Old 03-20-2020, 05:52 PM
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and payment for tests from those who are high deductible so paying 100% for now? lack of clarity is...a theme in those pressers.

Quote:
Originally Posted by NY DFS Guidance
• Offering payment accommodations, such as allowing consumers to defer payments at no cost, extending payment due dates, or waiving late or reinstatement fees, where consumers are unable to make timely payments of premium or fees due to COVID-19-related disruptions;
• Working with consumers to avoid cancellation of insurance policies for (a) failure to pay premiums on time, (b) discovery of acts or omissions that may have increased the hazard insured against, or (c) physical changes in the property insured subsequent to issuance or last renewal that result in the property no longer meeting the insurer’s underwriting standards;
• Working with consumers to avoid non-renewal of insurance policies where a consumer fails to timely respond to a non-renewal notice;
etc.
so the allowances are already occurring on the premium side (all LOBs)
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