Comparisons. Historical trends should not be used in a simple formulaic manner to determine future trends; a great deal of actuarial judgment is also needed. We did not explicitly rely on the historical MCP encounter data trend experience due to anomalies observed in the historical trend data. We referred to the sources listed in the prior section as well as considered changing practice patterns, the impact of reimbursement changes on utilization in the MMC population, and shifting population mix. Explicit adjustments were made outside of trend to reflect all recent or planned changes in reimbursement from the base period to the rating period.
Appears in 9 contracts
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan
Comparisons. Historical trends should not be used in a simple formulaic manner to determine future trends; a great deal of actuarial judgment is also needed. We did not explicitly rely on the historical MCP MCOP encounter data trend experience due to anomalies observed in the historical trend data. We referred to the sources listed in the prior section as well as considered changing practice patterns, the impact of reimbursement changes on utilization in the MMC MyCare population, and the shifting population mix. Explicit adjustments were made outside of trend to reflect all recent or planned changes in reimbursement from the base period to the rating period.
Appears in 2 contracts
Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan
Comparisons. Historical trends should not be used in a simple formulaic manner to determine future trends; a great deal of actuarial judgment is also needed. We did not explicitly rely on the historical MCP MCOP encounter data trend experience due to anomalies observed in the historical trend data. We referred to the sources source listed in the prior section as well as considered changing practice patterns, the impact of reimbursement changes on utilization in the MMC MyCare population, and the shifting population mix. Explicit adjustments were made outside of trend to reflect all recent or planned changes in reimbursement from the base period to the rating period.
Appears in 2 contracts
Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan
