Common use of Comparisons Clause in Contracts

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.

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.

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.

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 MCO 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, 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, including the impact of COVID-19 on service utilization and cost.