So How Much Health Care Is Too Much?
We continue to observe increasing health care costs here in the US, although since 2010, health care [...]
New Section 1332 Flexibility: State Relief and Empowerment Waiver Opportunities
As citizens and stakeholders in the health care arena, Axene Health Partners, LLC consultants are actively informing policymakers [...]
Thoughts on Developing an Effective ACA Rate Filing
Defining a “Successful Rate Filing” For purposes of this writing, a successful rate filing: a) Is accepted [...]
When is the Right Time to Move to Risk Sharing?
With all of the discussion today about Alternate Payment Methods, Value Based Reimbursement, MACRA, MIPS, etc., talk very [...]
Do Employees Really Understand Their Coverage?
One of the most talked about things in the United States is healthcare, but it is surprising [...]
Is Self-Funding the Right Choice?
Does going Self-Funded really save your money, or does it just sound good… No matter how big or [...]
Is it Time for an ACO Check-up?
With school soon to start many parents are scheduling check-ups for their kids to be sure all is [...]
So How Much Profit is Enough? Guidance for Pricing Health Benefits
One of the key assumptions in health product premium rate development is the profit margin (i.e., contribution to [...]
Benchmarking Without Benchmarks
Introduction Benchmarks are very useful and a great tool for deciphering analytics. They offer a point of [...]
Perverse Incentives in ACA’s Risk Adjustment
Introduction There has been significant discussion in the past several weeks about ACA’s risk adjustors, the New [...]