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Coronavirus: A Case for Care Management
For the better part of the last few years, terms in the healthcare space like “Medicare for All”, “preexisting conditions”, and “if you like your doctor you can keep them” have been making [...]
Trust the Prophets, Not the Spin Doctors
In January 2019, Clemson defeated Alabama 44-16 in the College Football Playoff championship game. As a Clemson football fan, I was thrilled with the result. I was also surprised, as was everybody else [...]
Health Insurer Tax Repeal Could Impact Your Shared Savings Arrangements
Introduction On December 20, 2019, President Trump signed the Further Consolidated Appropriations Act of 2020 (i.e., HR 1865) which included a repeal of the Health Insurer Tax (i.e., HIT) as of January 1, [...]
The Tip of the ACA Iceberg
Casual observers of a recent Congressional hearing that included Seema Verma as its only witness might have mistaken the administrator of the Centers for Medicare and Medicaid Services as the administrator of the [...]
Medicare for All’s $600 Billion Question
“Medicare for All” is a term that can assume many different meanings and its lenient usage tends to generate confusion or misinformation. To provide some clarification, AHP has provided an actuarial perspective of [...]
Another ACA Paradox: Lowering the Average Age Increases Consumer Premiums
There is a little secret (not anymore) among health actuaries that pricing age slopes are self-fulfilling. If the true cost of the oldest eligible age group in a population is five times the [...]