Paid vs Incurred: Months of Development, Completion Factors & Claims Still to Come
This lesson is part of the course
In this lesson
You count how many months each service month has had to develop, look up a fictional completion factor, estimate what each month will finally cost and total the claims that are incurred but not yet paid.
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Lessons in this course
- Member Months: Enrolment Dates, Months Covered per Member & the Plan's Exposure Locked
- Cost per Member per Month: Paid Claims by Category & by Month Locked
- Utilisation per 1,000 & Unit Cost: Splitting PMPM into How Often and How Much Locked
- High-Cost Claimants: Cost per Member, Top-Member Share & a Pareto Chart Locked
- Cost Trend: PMPM Year over Year, Utilisation Trend vs Unit-Cost Trend Locked
- Paid vs Incurred: Months of Development, Completion Factors & Claims Still to Come Locked
- Benefit Design Effects: Co-Pays, Deductibles, Out-of-Pocket Maximums & Plan PMPM Locked
- Plan Dashboard: Actual vs Budget PMPM, Traffic Lights & a Category Chart Locked