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 the experience of a CCO is determined, under CMS xxxxxxxx0, 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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Examples of Full Credibility in a sentence

  • Deaths Actual Deaths Expected Ben Deaths Actual Ben Deaths Expected B^2/10,000 A/E Ratio Full Credibility Partial Credibility Graph 2 illustrates the reference mortality curve, raw experience rates, and the two curves obtained by a single multiplier approach andthree-group multiplier approach described in this example.

  • These parameters are consistent with the MA credibility methodology, details of which can be found in the Proposed Guidelines for Full Credibility to be used in the MA and Prescription Drug Bid Pricing Tools.13The following table summarizes the experience data used in the analysis.

  • Chapter 2 Full Credibility Theory for GLMs and GLMMs 2.1 Full credibility criteria Developed in the early part of the 20th century, limited fluctuations credibility gives formulas to assign full or partial credibility to an individual or group of policy–holders’ experience.

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

  • 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.

  • Mallett presented a revised rating worksheet since the last meeting and also the options reviewed by the Benefits Committee: Full Credibility to HDPPO, Blending non-Medicare Retirees, with no Retiree Subsidy, The Board viewed rating options for $18M reserves allocation and with 50% credit given to the HD PPO Plan.


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
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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 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 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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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);

  • Evaluate means the UCRC evaluating the results of the Pilot Program and reporting those results to Reclamation.

  • 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;

  • Disadvantaged Worker means any person who:

  • 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).

  • 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.

  • Working level (WL) means any combination of short-lived radon daughters in 1 liter of air that will result in the ultimate emission of 1.3E+5 MeV of potential alpha particle energy. The short-lived radon daughters are—for radon-222: polonium-218, lead-214, bismuth-214, and polonium-214; and for radon-220: polonium-216, lead-212, bismuth-212, and polonium-212.

  • 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;

  • Historically Disadvantaged Individual (HDI) - means a South African citizen:

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

  • Economically disadvantaged means a pupil who has been determined eligible for free or reduced-price meals as determined under the Richard B. Russell national school lunch act, 42 USC 1751 to 1769j; who is in a household receiving supplemental nutrition assistance program or temporary assistance for needy families assistance; or who is homeless, migrant, or in foster care, as reported to the center.

  • Economically disadvantaged individual means an individual who is either: (1) eligible for services under the Workforce Investment Act of 1988 (WIA) (29 U.S.C.A 2801 et seq.), as determined by the San Francisco Private Industry Council; or (2) designated “economically disadvantaged” for the First Source Hiring Administration, as an individual who is at risk of relying upon, or returning to, public assistance.

  • 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.