Cebs gba 2 module 7 - Study guides, Class notes & Summaries

CEBS-GBA 2, Module 7

CEBS-GBA 2, Module 7

CEBS-GBA 2, Module 7

CEBS-GBA 2, Module 7

ACA requirements for insurers - ANSWER(a) Insurers may no longer exclude members based on preexisting conditions. (b) Insurers may not place annual or lifetime caps on coverage. (c) All fully insured products must comply with a medical loss ratio (MLR) requirement. It mandates that health insurance issuers in the individual and small group markets and in the large group market spend at least 80% and 85% of premiums, respectively, on health care activities (as opposed to administrative func...

CEBS GBA/RPA 3 - Module 7 - Analytics and Vendor Management, Questions & Answers. VERIFIED. Define data analytics in the health care context. - -Data analytics is the process of inspecting, cleaning, transforming, interpreting and modeling data to discover trends, patterns, and other information that can support benefit plan decisions and changes. The ultimate goal of this work is to (1) reduce costs and (2) improve clinical outcomes and/or the participant experience. Define predicti...

CEBS GBA/RPA 3 - Module 7 - Analytics and Vendor Management, Exam Questions & Answers. VERIFIED. Define data analytics in the health care context. - -Data analytics is the process of inspecting, cleaning, transforming, interpreting and modeling data to discover trends, patterns, and other information that can support benefit plan decisions and changes. The ultimate goal of this work is to (1) reduce costs and (2) improve clinical outcomes and/or the participant experience. Define pre...

CEBS GBA/RPA 3 - Module 7 - Analytics and Vendor Management, Questions & Answers. VERIFIED. Define data analytics in the health care context. - -Data analytics is the process of inspecting, cleaning, transforming, interpreting and modeling data to discover trends, patterns, and other information that can support benefit plan decisions and changes. The ultimate goal of this work is to (1) reduce costs and (2) improve clinical outcomes and/or the participant experience. Define predicti...

CEBS: GBA 1, Module 1 (2023/2024) 100% Pass Employee Benefits All forms of financial returns and tangible services and benefits employees receive as apart of an employee relationship Broad View of Employee Benefits Virtually any form of compensation other than direct wages, including: 1. Employer's share of legally required payments (Social security and medicare, unemployment insurance and worker's compensation benefits) 2. Payment for time not worked (paid rest periods, paid sick leave, paid...

CEBS: GBA 1, Module 5 Question already solved 2023Basic difference between medicine and dentistry 1. Physicians typically practice in groups, while many dentists practice almost exclusively in individual offices. This isolation tends to produce a greater variety of dental practice patterns that exist in medicine and doesn't allow for the same opportunities for peer review & general quality control 2. Many individuals may require only preventative or no medical care for years but, because of t...