Full Credibility definition

Full Credibility means the experience of a CCO is determined, under CMS guidance2, to be sufficient, measured in terms of member months, for the calculation of a MLR with a minimal chance that the difference between the actual and target medical loss ratio is not statistically significant. A CCO that is assigned Full Credibility (or is Fully Credible) will not receive a credibility adjustment to its MLR.
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Full Credibility means a standard for which the experience of a PAHP is determined to be sufficient for the calculation of a MLR with a minimal chance that the difference between the actual and target medical loss ratio is not statistically significant. A PAHP that is assigned full credibility (or is fully credible) will not receive a credibility adjustment to its MLR.
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Full Credibility means a standard for which the experience of an MCO is determined to be sufficient for the calculation of an MLR with a minimal chance that the difference between the actual and target MLR is not statistically significant.
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Examples of Full Credibility in a sentence

  • DO NOT ROUND.Table 1 Life YearsBase credibility factor< 1,000No Credibility1,0008.3%2,5005.2%5,0003.7%10,0002.6%25,0001.6%50,0001.2%>= 75,0000.0% (Full Credibility) Line 3.3 – Average deductible Issuers who choose to use a deductible factor of 1.0 can skip Steps 1 and 2, leave Line 3.3 blank, and enter 1.0 on Line 3.4. Step 1: Calculate average deductibles separately for policies in force in PY2, PY1, and CY.

  • Table 1 to § 158.232: Base Credibility Factors Life-yearsBase credibility factor< 1,000 .............No Credibility.1,000 .................8.3%.2,500 .................5.2%.5,000 .................3.7%.10,000 ...............2.6%.25,000 ...............1.6%.50,000 ...............1.2%.≥ 75,000 ...........0.0% (Full Credibility).

  • Table 1 Life YearsBase credibility factor< 1,000No Credibility1,0008.3%2,5005.2%5,0003.7%10,0002.6%25,0001.6%50,0001.2%>= 75,0000.0% (Full Credibility) Line 3.3 – Average deductible Issuers who choose to use a deductible factor of 1.0 can skip Steps 1 and 2, leave Line 3.3 blank, and enter 1.0 on Line 3.4. Step 1: Calculate average deductibles separately for policies in force in PY2, PY1, and CY.

  • Proposed Guidelines for Full Credibility to be used in the MA and Prescription Drug Bid Pricing Tools.

  • This amount of data is what we referred to above as the Full Credibility Criterion or the Standard for Full Credibility.

  • Benefits of Full Credibility for Low InflationThree closely related benefits of full credibility for low inflation have been apparent in the second half of the Greenspan era.

  • We have incorporated clarifications within the bid instructions.• Bid Pricing Tool Changes from Beta Release (Part D BPT)▪ CMS Full Credibility updated to 60,000 member months▪ Updated Insulin AE tests on Worksheet 4 and 5 to remove the LI benes in the GAP from the <$35 test• Instruction Changes from Beta Release▪ MA Instructions:1.

  • CV2 = E[X2] / E2[X] = 416.67 / 16.672 = 1.5XThe standard for Full Credibility for the pure premiums for k =2:5% is, therefore, nS = nN ( 1 + CV 2)= 5,000 * 1.5 = 7,500.For k=9% we need to multiply by (2.5/9)2 since the full credibility standard is inversely proportional to k2.

  • The Sacrifice Coefficient under Gradual Stabilization and Full Credibility as a Function of the Frequency of Adjustmentsa Real adjustmentsas fraction of Frequency of total adjustments (y + 8) Source: Author’s calculations.a. The sacrifice coefficient, S, was derived for the indicated combinations of y + 0 and Z based on an adjustment velocity in the money growth rate of µ = 0.46, with v = 0.25.

  • Unquestionably, rising productivity growth during the period helped to hold down inflation, but the fact that the economy achieved this growth without much of an increase in inflation or an inflation scare further reinforced the Greenspan Fed’s credibility for low inflation.6 Benefits of Full Credibility for Low InflationThree closely related benefits of full credibility for low inflation have been apparent in the second half of the Greenspan era.


More Definitions of Full Credibility

Full Credibility. As defined in 42 CFR § 438.8, a standard for which the experience of an MCO is determined to be sufficient for the calculation of a Medical Loss Ratio (MLR) with a minimal chance that the difference between the actual and target medical loss ratio is not statistically significant. An MCO that is assigned full credibility (or is fully credible) will not receive a credibility adjustment to its MLR “Generally Accepted Accounting Principles” or “GAAP” Uniform minimum standards of and guidelines to financial accounting and reporting as established by the Financial Accounting Standards Board and the Governmental Accounting Standards Board.
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Full Credibility means the level at which a particular body of data is assigned full predictive value based on a selected confidence interval.
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Full Credibility. As defined in 42 C.F.R. § 438.8, a standard for which the experience of an MCO is determined to be sufficient for the calculation of a Medical Loss Ratio (MLR) with a minimal chance that the difference between the actual and target medical loss ratio is not statistically significant. An MCO that is assigned full credibility (or is fully credible) will not receive a credibility adjustment to its MLR
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Related to Full Credibility

  • Deafness means a hearing impairment that is so severe that the student is impaired in processing linguistic information through hearing, with or without amplification that adversely affects a student’s educational performance.

  • Job means a position or job family level in a job family [74:840-1.3].

  • Profile means a building's cross-sectional shape or the shape of its outline.

  • Workforce means employees, volunteers, trainees or other persons whose performance of work is under the direct control of a party, whether or not they are paid by that party.

  • Integrity means that personal data should be accurate and suitable for the purpose for which it is processed.

  • Viability means that stage of human development when the life of the unborn child may be continued by natural or life-supportive systems outside the womb of the mother;

  • History means, for the purposes of an eligibility determination as defined in this rule, necessary evidence of an intellectual disability prior to 18 years of age or an other developmental disability prior to 22 years of age, including previous assessments and medical evaluations prior to the date of eligibility determination for developmental disabilities services.

  • Deputation means a person or group of persons who wish to appear personally before the council or a committee of the council in order to address the council or committee of the council;

  • Success means that the Client’s claim is finally decided in his or her favour, whether by a court decision or an agreement to pay damages or in any way that results in the Client deriving a benefit from pursuing the Claim.

  • Diversity means variety among individuals. Diversity includes, for example, variations in socio-economic status, race, developmental level, ethnicity, gender, language, learning styles, culture, abilities, age, interests, and/or personality.

  • Skills means the ability to apply knowledge and use know-how to complete tasks and solve problems. In the context of the European Qualifications Framework, skills are described as cognitive (involving the use of logical, intuitive and creative thinking) or practical (involving manual dexterity and the use of methods, materials, tools and instruments);

  • Company’s workforce means the persons (and the dependants of those persons) engaged whether as employees, agents or contractors in the construction and operation of the facilities to be established pursuant to approved proposals;

  • Discipline means any action taken by a school district in response to behavioral violations.

  • HSP’s Personnel and Volunteers means the Controlling Shareholders (if any), directors, officers, employees, agents, volunteers and other representatives of the HSP. In addition to the foregoing, HSP’s Personnel and Volunteers shall include the contractors and subcontractors and their respective shareholders, directors, officers, employees, agents, volunteers or other representatives;

  • Login Credentials means any passwords, authentication keys, or security credentials that enable Customer’s access, management to the Service Offering, or both.

  • Likelihood of serious harm means either: (a) A substantial

  • Bias (gyro) (7) means the average over a specified time of gyro output measured at specified operating conditions that has no correlation with input rotation or acceleration. "Bias" is typically expressed in degrees per hour (deg/hr). (IEEE Std 528-2001).

  • Group practice means a group of two or more health care providers legally organized as a partnership, professional corporation, or similar association:

  • MCO means an organization having a certificate of authority or certificate of registration from the 11 Washington State Office of Insurance Commissioner that contracts with HCA under a comprehensive 12 risk contract to provide prepaid health care services to eligible HCA Enrollees under HCA managed 13 care programs.

  • Marketplace means an online directory, catalog or marketplace of applications that interoperate with the Subscription Services.

  • Impact means any effect caused by a proposed activity on the environment including human health and safety, flora, fauna, soil, air, water, climate, landscape and historical monuments or other physical structures or the interaction among these factors; it also includes effects on cultural heritage or socio-economic conditions resulting from alterations to those factors;

  • Quality means the totality of features and characteristics of a product or service that bear on its ability to satisfy stated or implied needs;

  • Enhanced 911 Service (“E911”) means a telephone communication service which will automatically route a call dialed “9-1-1” to a designated public safety answering point (PSAP) attendant and will provide to the attendant the calling party’s telephone number and, when possible, the address from which the call is being placed and the Emergency Response agencies responsible for the location from which the call was dialed.

  • Pattern means two or more acts occurring over a period of time, however short, evidencing a continuity of purpose.

  • Deaf/blindness means concomitant hearing and visual impairments, the combination of which causes such severe communication and other developmental and educational problems that they cannot be accommodated in special education programs solely for students with deafness or students with blindness.

  • Intensity means the number of Program Unique Supervised Hours divided by the Duration for a course or qualification, being a measure of the concentration of training and assessment delivered from the Eligible Individual’s perspective.