January 2, 2020

In response to a prior article I recently authored, Risk-Based Capital Considerations for Self-Funded Plans, I had a request for a follow-up article focused on stop-loss as a risk mitigation...

December 18, 2019

The practice of vaccinating people is much older than most understand. Today it is a hot topic in news and is being talked about regularly as it affects school registration, travel...

December 9, 2019

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...

December 5, 2019

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...

November 22, 2019

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...

November 21, 2019

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...

November 19, 2019

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...

November 18, 2019

The Affordable Care Act (ACA), colloquially known as “Obamacare”, recently began its 7thopen enrollment period, the first with premiums based on claims experience after...

November 13, 2019

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...