How Can Private Equity Adapt to Healthcare Economics?
Economics students are baptized in the basics of supply and demand the moment they step into their first classroom. The free market involves buyers and sellers who participate in a bilateral...
Healthcare Resource Planning: The Importance of Balancing Supply with Demand
A quick internet search will produce dozens of articles talking about the shortage of healthcare providers. One report presents 15 key concerns about physician shortages[1] ranging...
Transparency: How Important Is It Anyway?
The November 15, 2019 release of a final rule on Transparency has raised the awareness of transparency. For years this has been a discussion topic in Board Rooms, marketing departments...
Hospital Price Transparency: Threat or Opportunity?
On November 15, 2019 the Trump Administration, in conjunction with the Centers for Medicare & Medicaid Services, released a final rule which would require the public disclosure of...
Being Actuarial, Actuarially Sound, Or Just Plain Faking It…
Being an actuary has been a very enjoyable career for the last 16 years. I have worked on many different projects from the smallest review of data to multi-billion-dollar litigations...
The Gold Rush and the Lionfish: Optimizing the Unique Dynamics in ACA Markets
The Affordable Care Act (ACA), colloquially known as “Obamacare”, recently began its 7thopen enrollment period, the first with premiums based on claims experience after...
What Is The “Total Cost Of Care” And Why Does It Matter?
If you work in the healthcare space, you often hear the term “Total Cost of Care”. The more you hear the term the more you may wonder what it means and why it is important...
Transforms: a la Health Care Style
Students of mathematics are familiar with the concepts of transforms or transformations (e.g., LaPlace or Fourier transforms). Essentially these are tools which help mathematicians...
Question: Should We Do This or Not? Answer: We Need an Assessment of Value!
Sometimes the hardest business questions have the simplest of answers. This is also true for the many nagging questions we encounter in healthcare. Too often the decision making process...
Physician Fee Schedules: How Do They Compare and What’s Next?
When you visit your doctor, you will typically be charged a small copay, coinsurance amount, or may not even have to make a payment at all. This is done because you know that your...