Welcome to Inspire from AHP!
We created the Inspire blog to have a positive impact on both the health care system and its clients.
A Look at Selling Health Insurance Across State Lines
There has been considerable discussion from many on the Republican side of the aisle that enabling carriers to sell across state lines will have a positive impact on health care premium rates. Is [...]
Thoughts on Anthem’s Decision
Is this a case of short-term gains at the expense of long-term progress? The recent announcement by the Blues insurer Anthem that they will no longer reimburse for CTs and MRIs in the [...]
Accurately Pricing Complex Benefit Designs
Introduction Actuaries are called upon by the healthcare industry to develop assumptions, factors, formulae, etc., that are used by underwriters to determine premium rates for health insurance benefit plans. Determining premium rates for [...]
Accountability: The General Public
“We have met the enemy and he is us.” – Walt Kelly, PogoIntroductionThe general consensus is that the U.S. health care system is too expensive, provides less than desired levels of quality, and does [...]
Accountability Inspire Series: Public Health
Introduction In the debate around healthcare reform or in conversations about what’s wrong with the U.S. healthcare system, public health rarely earns a mention. Insurance companies, hospital systems, providers, pharmaceutical companies, government, and [...]
Accountability: Rates
Introduction One of the primary responsibilities of health plans, like Aetna, Cigna and UnitedHealth Group, is to remain financially viable in order to meet its financial and legal obligations to members, plan sponsors, providers [...]