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Biotech / Medical : Oxford Health Plan (OXHP) -- Ignore unavailable to you. Want to Upgrade?


To: Thomas Haegin who wrote (477)12/10/1997 12:21:00 PM
From: Michael Burry  Read Replies (1) | Respond to of 2068
 
In general, the books are closed on claims for a given month
6 months after that month. So now, they are increasing their
reserves to account for current claims that have been incurred
but not paid. We'll know for sure where they stand on this
current month 6 months from now, but OXHP is estimating that
it will pay out its reserves in the next 6 mos at a decreasing
percentage/month as we go out further. Accountants correct me
if I'm wrong.

This is where we were misled earlier and where Oxford has made
its biggest mistakes - underestimating the IBNR (claims
incurred but not reported) going forward. And it also
makes it easier to understand how it would take many months
to realize the error. But OXHP's charges on Q3, if
anything, should've overestimated their current claims,
and evidently they weren't even close. The reasons for this
are now up in the air.

Mike