The Lionfish in ACA Markets
I have done most of my scuba diving in the Carribean Sea and the Florida Keys. I can’t complain. The water is clear, the temperature is comfortable, and the fish are abundant. If you are not...
Gun Violence: A Public Health Issue
Her text message read: “The school is on lockdown, but don’t worry I’m safe.” It was not the first encounter my wife has had with gun violence in our school system and it will not be the last...
The Democratic Presidential Debates and Health Care Policy
Whether or not one supports any of the candidates in the debate or the other party, they provide interesting discussion material for those who care about our health care system...
So How Would You Fix Health Care Grandpa?
My grandkids periodically ask me about my work. They understand that I am a heath care consultant and have worked in the health care world for my entire career. They have overheard many...
Risk-Based Capital Considerations for Self-Funded Plans
Two of the main reasons why businesses choose to self-fund their employee health care benefits are (1) to have more flexibility of the plan administration, and (2) to reduce costs...
Streamline Your Healthcare Analytics by Embedding Benchmarking
Too often meaningless and unnecessarily complex healthcare analysis is prepared and presented to leadership without explaining what it means or answering the key question “what do I do with this?”...
ACA Premium Changes: We Need a New Measuring Stick
Guilty!!! I wrote the lead article in the February edition of the Society of Actuaries Social Insurance and Public Finance Section newsletter In The Public Interest. I highlighted that 2019...
Health Care Affordability Index: 2019
The American health care industry is a leviathan. Health care has swelled to dominate 18% of national GDP, and health care spending is expected to outpace overall economic growth[1]...
A Beginner’s Guide to Model Validation
Models inform business decisions by using a variety of techniques to explain relationships among variables, entities, or events. In addition to actuaries, other stakeholders in the healthcare...
Take A Number: Would Long Wait Times In US Healthcare Be Acceptable?
With all the talk of Medicare For All in the media, I started to think about American healthcare culture as we see it today and wonder if Americans really could function under...